Class ID,Preferred Label,Synonyms,Definitions,Obsolete,CUI,Semantic Types,Parents,HAC,HAD,HAQ,HBT,HCC,HCD,HIR,HLC,HMP,HMR,HPD,HPF,HPG,HPI,HPN,HSN,HTS,HXR,Mapped from,Mapped to,Semantic type UMLS property
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2622-E2625,Wheelchair: Skin Protection,,,FALSE,C3248684,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2366,"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each",,,FALSE,C1314364,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7509,"Methylprednisolone oral, per 4 mg",,,FALSE,C0499074,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20000101,0,O1E=Other drugs,D=Special coverage instructions apply,19960101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,,,,51=Drugs,,,G=Immunosuppressive drugs|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7131,"Hypertonic saline solution, 1 ml",,,FALSE,C3248649,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20120101,0,O1E=Other drugs,D=Special coverage instructions apply,20120101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S8210,Mucus trap,,,FALSE,C0184050,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8096-S8210,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1580,Unipuncture control system for hemodialysis,,,FALSE,C0498658,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4354,"Palingen dual-layer membrane, per square centimeter",,,FALSE,C5979757,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9345,"Follow-up recommendations documented according to recommended guidelines for incidentally detected pulmonary nodules (e.g., follow-up ct imaging studies needed or that no follow-up is needed) based at a minimum on nodule size and patient risk factors",,,FALSE,C3710435,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9580,Door to puncture time of 90 minutes or less,,,FALSE,C4067514,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1251,Patients for whom a proxy completed the entire hu survey on their behalf for any reason (no patient involvement),,,FALSE,C5884156,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0787,"External ambulatory infusion pump, insulin, dosage rate adjustment using therapeutic continuous glucose sensing",,,FALSE,C5229023,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0776-E0791,N=No maintenance for this code,20200915,0,Z2=Undefined codes,I=Not payable by Medicare,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8845,Positive airway pressure therapy prescribed,,,FALSE,C3248586,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4261,Cervical cap for contraceptive use,,,FALSE,C0493327,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,19990101,0,Z2=Undefined codes,S=Non-covered by Medicare statute,19990101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862a1,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0633,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710487,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0628-L0640,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1303,"Injection, ravulizumab-cwvz, 10 mg",,,FALSE,C5229015,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,20191001,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7327,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose",,,FALSE,C3871380,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7318-J7329,N=No maintenance for this code,20150101,0,O1E=Other drugs,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,20150101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5281,"Assistive listening device, personal fm/dm system, monaural, (1 receiver, transmitter, microphone), any type",,,FALSE,C3534653,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5268-V5290,N=No maintenance for this code,20130101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862a7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",,,FALSE,C1617865,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9054,"Oncology; primary focus of visit; supervising, coordinating or managing care of patient with terminal cancer or for whom other medical illness prevents further cancer treatment; includes symptom management, end-of-life care planning, management of palliative therapies (for use in a medicare-approved demonstration project)",,,FALSE,C1617338,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0493-G0496,Home Health or Hospice: Skilled Services,,,FALSE,C4542595,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0112,"Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips",,,FALSE,C0498353,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0110-E0118,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0735,Non-invasive vagus nerve stimulator,,,FALSE,C5574581,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20240101,0,D1E=Other DME,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1430,"Injection, ethanolamine oleate, 100 mg",,,FALSE,C0919132,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20060101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,0095=AS REQUIRED BY BBRA SECTION 201.,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4279,"Vendaje ac, per square centimeter",,,FALSE,C5884247,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A9539,"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries",,,FALSE,C1618336,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/Q4177,"Floweramnioflo, 0.1 cc",,,FALSE,C4542808,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9293,"Pathology report does not include the pt category and a statement on thickness and ulceration and for pt1, mitotic rate",,,FALSE,C3710394,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J0218,"Injection, olipudase alfa-rpcp, 1 mg",,,FALSE,C5884026,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230401,0,O1E=Other drugs,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,20230401,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1352-E1406,Additional Oxygen Related Equipment,,,FALSE,C0812976,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9961,Systemic antimicrobials prescribed,,,FALSE,C2367630,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0429,"Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy)",,,FALSE,C2958948,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0428-G0429,N=No maintenance for this code,20170101,0,P6A=Minor procedures - skin,C=Carrier judgment,20100323,,,A=Not applicable as HCPCS priced under one methodology,,20170101,,YY,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7321,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose",,,FALSE,C5574563,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7318-J7329,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4323,"Alloply, per square centimeter",,,FALSE,C5974400,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L5685,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each",,,FALSE,C1509059,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7674,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg",,,FALSE,C1509026,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20050101,0,O1E=Other drugs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/C7531,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation",,,FALSE,C5771545,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P2F=Major procedure - cardiovascular - Other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2616,"Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware",,,FALSE,C1508940,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2601-E2621,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1324,"Injection, enfuvirtide, 1 mg",,,FALSE,C1737750,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0255,"Hospice referral visit (advising patient and family of care options) performed by nurse, social worker, or other designated staff",,,FALSE,C0994075,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L6647,"Upper extremity addition, shoulder lock mechanism, body powered actuator",,,FALSE,C1145290,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4256,"Mlg-complete, per square centimeter",,,FALSE,C5771714,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20220401,0,O1E=Other drugs,C=Carrier judgment,20220401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/M1292,Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period,,,FALSE,C5876626,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0123,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision",,,FALSE,C0694932,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0117-G0124,N=No maintenance for this code,19980401,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,19980401,50-20,630=Cytology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,"0045=SEE INTERMEDIARY MANUAL 3628.1A FOR PAYMENT INSTRUCTIONS. (P3000,P3001 G0123, G0124, G0141, G0143, G0144, G0145, G0147, G0148). PROGRAM MEMORANDUM AB-98-71.60.",,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G9789,"Blood pressure recorded during inpatient stays, emergency room visits, or urgent care visits",,,FALSE,C4316164,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A7026,"High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each",,,FALSE,C1144984,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T1004,"Services of a qualified nursing aide, up to 15 minutes",,,FALSE,C0994278,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J2305,"Injection, nitroglycerin, 5 mg",,,FALSE,C5884066,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C8900,"Magnetic resonance angiography with contrast, abdomen",,,FALSE,C0993819,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8900-C8920,N=No maintenance for this code,20011001,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20011001,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5978,"All lower extremity prostheses, foot, multiaxial ankle/foot",,,FALSE,C0499982,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0252,"Pet imaging, full and partial-ring pet scanners only, for initial diagnosis of breast cancer and/or surgical planning for breast cancer (e.g., initial staging of axillary lymph nodes)",,,FALSE,C1145127,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20021001,0,I2D=Advanced imaging - MRI/MRA: other,M=Non-covered by Medicare,20021001,50-36,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,Temporary National Codes Established by Private Payers - Miscellaneous Supplies and Services,,,FALSE,C4542661,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20S0000-S9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5171,"Hearing aid, contralateral routing device, monaural, in the ear (ite)",,,FALSE,C4746511,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20190101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8970,No risk factors or one moderate risk factor for thromboembolism,,,FALSE,C3534740,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G8397,"Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy",,,FALSE,C1971243,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20080101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q0515,"Injection, sermorelin acetate, 1 microgram",,,FALSE,C1618388,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0515-Q0515,N=No maintenance for this code,20060101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0606-K0609,Defibrillator and Accessories,,,FALSE,C4542615,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20K0000-K9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C8937,"Computer-aided detection, including computer algorithm analysis of breast mri image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation (list separately in addition to code for primary procedure)",,,FALSE,C3517542,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8931-C8937,N=No maintenance for this code,20190101,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),4=Diagnostic radiology,0159T,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A5508,"For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe",,,FALSE,C0499344,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5500-A5514,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2134,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,J=Diabetic shoes (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1267,Patients not observed in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period,,,FALSE,C5884172,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J0402,"Injection, aripiprazole (abilify asimtufii), 1 mg",,,FALSE,C5884029,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L7600,"Prosthetic donning sleeve, any material, each",,,FALSE,C1616849,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7499-L7600,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,S=Non-covered by Medicare statute,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862(1)(a),"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0391,"Injection, artesunate, 1 mg",,,FALSE,C5884028,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1876,"Stent, non-coated/non-covered, with delivery system",,,FALSE,C0993781,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1413,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose",,,FALSE,C5884049,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each",,,FALSE,C2368650,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20090101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|S=Surgical dressings or other medical supplies (eff 04/95)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3161,"Foot, adductus positioning device, adjustable",,,FALSE,C5574576,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3140-L3170,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A2019,"Kerecis omega3 marigen shield, per square centimeter",,,FALSE,C5883873,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20230401,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L3000,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each",,,FALSE,C0499637,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3000-L3031,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S0014,"Tacrine hydrochloride, 10 mg",,,FALSE,C0812773,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1086,"Hemi-wheelchair detachable arms desk or full length, swing away detachable footrests",,,FALSE,C0498580,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1083-E1086,N=No maintenance for this code,20010401,0,D1D=Wheelchairs,I=Not payable by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,K0002,,http://purl.bioontology.org/ontology/HCPCS/K0002,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1953,"Injection, levetiracetam, 10 mg",,,FALSE,C1971564,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20090101,0,O1E=Other drugs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q3028,"Injection, interferon beta-1a, 1 mcg for subcutaneous use",,,FALSE,C3710558,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q3027-Q3028,N=No maintenance for this code,20140101,0,O1E=Other drugs,I=Not payable by Medicare,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0310,Hospitalist services (list separately in addition to code for appropriate evaluation and management service),,,FALSE,C0994078,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/K0829,"Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more",,,FALSE,C1738025,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2550,"Addition to lower extremity, thigh/weight bearing, high roll cuff",,,FALSE,C0499607,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2500-L2550,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2364,"Power wheelchair accessory, u-1 non-sealed lead acid battery, each",,,FALSE,C1314362,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",,,FALSE,C1618376,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3265,"Plastazote sandal, each",,,FALSE,C0499686,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G6003-G6017,Radiation Treatment,,,FALSE,C1522449,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0461,"Injection, atropine sulfate, 0.01 mg",,,FALSE,C2729272,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20100101,0,O1E=Other drugs,D=Special coverage instructions apply,20100101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E2602,"General use wheelchair seat cushion, width 22 inches or greater, any depth",,,FALSE,C1508926,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2601-E2621,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9881,"The mdpp beneficiary achieved at least 9% weight loss (wl) from his/her baseline weight in months 1-24 under the mdpp expanded model (em). this is a one-time payment available when a beneficiary first achieves at least 9% weight loss from baseline as measured by an in-person weight measurement at a core session, core maintenance session, or ongoing maintenance session",,,FALSE,C4746394,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180401,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20180401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L6975,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device",,,FALSE,C0500119,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6920-L6975,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2182,Patient receiving first-time biologic and/or immune response modifier therapy,,,FALSE,C5439696,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/P9045,"Infusion, albumin (human), 5%, 250 ml",,,FALSE,C0993991,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20020101,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0516-Q0521,Pharmacy Supplying Fee for HIV pre-exposure prophylaxis,,,FALSE,C5974071,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/V5020,Conformity evaluation,,,FALSE,C0500429,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5008-V5020,N=No maintenance for this code,19950101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5697,"Addition to lower extremity, above knee or knee disarticulation, pelvic band",,,FALSE,C0499929,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2502,"Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time",,,FALSE,C1314368,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2500-E2599,N=No maintenance for this code,20190101,0,D1E=Other DME,D=Special coverage instructions apply,20040101,60-23,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2069,"Medication assisted treatment, buprenorphine (injectable) administered on a monthly basis; bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)",,,FALSE,C5229060,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0027,Semen analysis; presence and/or motility of sperm excluding huhner,,,FALSE,C0498693,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20031001,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,19950101,,400=Hematology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/J7194,"Factor ix, complex, per i.u.",,,FALSE,C0499062,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,19980101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0165,"Commode chair, mobile or stationary, with detachable arms",,,FALSE,C0498375,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0163-E0175,N=No maintenance for this code,20070101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9058,Oncology; practice guidelines; management differs from guidelines because the treating physician disagrees with guideline recommendations (for use in a medicare-approved demonstration project),,,FALSE,C1620997,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0596,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units",,,FALSE,C4067598,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9905,Patient not screened for tobacco use,,,FALSE,C4542739,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1398,Patients with baseline and follow-up promis surveys documented in the medical record,,,FALSE,C5974345,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/STY/T092,Organization,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T077,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T093,Health Care Related Organization,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T092,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T094,Professional Society,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T092,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T096,Group,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T077,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T098,Population Group,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T096,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T099,Family Group,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T096,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T097,Professional or Occupational Group,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T096,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T095,Self-help or Relief Organization,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T092,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T090,Occupation or Discipline,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T077,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T091,Biomedical Occupation or Discipline,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T090,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/HCPCS/J7325,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg",,,FALSE,C2729284,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7318-J7329,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,20100101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J3060,"Injection, taliglucerase alfa, 10 units",,,FALSE,C3710457,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,20140101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L1280,"Addition to tlso, (low profile), rib gusset (elastic), each",,,FALSE,C0499477,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1200-L1290,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0297,"Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress",,,FALSE,C0498432,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19910101,0,D1B=Hospital beds,D=Special coverage instructions apply,19910101,60-18,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S2083,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline,,,FALSE,C1509090,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20040401,0,Z2=Undefined codes,I=Not payable by Medicare,20040401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C8005,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with computed tomography acquisition(s) and 3d rendering, computer-assisted, image-guided navigation, and endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling (e.g., aspiration[s]/biopsy[ies]) of all mediastinal and/or hilar lymph node stations or structures, and therapeutic intervention(s)",,,FALSE,C5979709,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,A=Add procedure or modifier code,20250401,0,P8F=Endoscopy - bronchoscopy,D=Special coverage instructions apply,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0039,"Patient not referred, reason not otherwise specified",,,FALSE,C5574465,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A7023,"Mechanical allergen particle barrier/inhalation filter, cream, nasal, topical",,,FALSE,C5574587,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20240101,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8880,"Documentation of reason(s) sentinel lymph node biopsy not performed (e.g., reasons could include but not limited to; non-invasive cancer, incidental discovery of breast cancer on prophylactic mastectomy, incidental discovery of breast cancer on reduction mammoplasty, pre-operative biopsy proven lymph node (ln) metastases, inflammatory carcinoma, stage 3 locally advanced cancer, recurrent invasive breast cancer, clinically node positive after neoadjuvant systemic therapy, patient refusal after informed consent, patient with significant age, comorbidities, or limited life expectancy and favorable tumor; adjuvant systemic therapy unlikely to change)",,,FALSE,C3248614,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20190101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L8031,"Breast prosthesis, silicone or equal, with integral adhesive",,,FALSE,C2729356,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8000-L8039,N=No maintenance for this code,20100101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20100101,,,A=Not applicable as HCPCS priced under one methodology,2130 A,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C2637,"Brachytherapy source, non-stranded, ytterbium-169, per source",,,FALSE,C1616296,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2634-C2699,N=No maintenance for this code,20070701,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S1034,"Artificial pancreas device system (e.g., low glucose suspend (lgs) feature) including continuous glucose monitor, blood glucose device, insulin pump and computer algorithm that communicates with all of the devices",,,FALSE,C3871401,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20140701,0,Z2=Undefined codes,I=Not payable by Medicare,20140701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6714,"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric",,,FALSE,C1971367,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6700-L6882,N=No maintenance for this code,20090101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S4020,"In vitro fertilization procedure cancelled before aspiration, case rate",,,FALSE,C0994136,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,S=Change in short description of procedure code,20250401,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A0120,"Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems",,,FALSE,C0497717,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20030101,0,O1A=Ambulance,I=Not payable by Medicare,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0172,"Injection, aducanumab-avwa, 2 mg",,,FALSE,C5574552,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20220407,0,O1E=Other drugs,D=Special coverage instructions apply,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,20220101,,YY,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0226=SEE NCD CAG-00460N.,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8856,Referral to a physician for an otologic evaluation performed,,,FALSE,C3248590,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20R0000-R9999,Diagnostic Radiology Services,,,FALSE,C0813129,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000323,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0239,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring)",,,FALSE,C0993920,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20041001,0,P6C=Minor procedures - other (Medicare fee schedule),C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,W=Physical therapy|1=Medical care|U=Occupational therapy,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9287,Antibiotic regimen not prescribed within 10 days after onset of symptoms,,,FALSE,C4067437,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A7524,"Tracheostoma stent/stud/button, each",,,FALSE,C1314264,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7501-A7527,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2213,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each",,,FALSE,C1618344,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1014,Discharge/discontinuation of the episode of care documented in the medical record,,,FALSE,C5203696,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K0009,Other manual wheelchair/base,,,FALSE,C0499170,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20130701,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9510,Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq- 9 or phq-9m score was not assessed or is greater than or equal to 5,,,FALSE,C5229138,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/K0827,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds",,,FALSE,C1739989,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0886,"Power wheelchair, group 4 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds",,,FALSE,C1741415,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1327,"Injection, eptifibatide, 5 mg",,,FALSE,C0812733,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2049,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9590,"Iodine i-131, iobenguane, 1 millicurie",,,FALSE,C5228996,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20200101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,20200101,,YY,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0304,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress",,,FALSE,C1314300,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,20040101,0,D1B=Hospital beds,D=Special coverage instructions apply,20040101,60-18,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0481,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed",,,FALSE,C4067429,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0480-G0483,N=No maintenance for this code,20170101,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,20160101,,340=Toxicology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/L5020,"Partial foot, molded socket, tibial tubercle height, with toe filler",,,FALSE,C0499825,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5000-L5020,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2323,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9548,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie",,,FALSE,C1617822,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,53=Statute,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/J0400,"Injection, aripiprazole, intramuscular, 0.25 mg",,,FALSE,C1971334,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0519-G0531,Patient Management for Use in CMMI model,,,FALSE,C5974069,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V5299,"Hearing service, miscellaneous",,,FALSE,C0500452,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5298-V5299,N=No maintenance for this code,19950101,0,O1F=Hearing and speech services,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2320,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/H0022,Alcohol and/or drug intervention service (planned facilitation),,,FALSE,C0919058,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6580,"Gradient compression glove, custom, heavy weight, each",,,FALSE,C5883921,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0710,"Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type)",,,FALSE,C0499434,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0700-L0720,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19840101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4199,"Cygnus matrix, per square centimeter",,,FALSE,C5574635,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20220101,0,O1E=Other drugs,C=Carrier judgment,20220101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9079,"Oncology; disease status; prostate cancer, limited to adenocarcinoma as predominant cell type; t3b-t4, any n; any t, n1 at diagnosis with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1616832,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q5135,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",,,FALSE,C5974433,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20241001,0,O1E=Other drugs,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,20241001,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A5514,"For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each",,,FALSE,C4746276,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5500-A5514,N=No maintenance for this code,20190101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20190101,,,A=Not applicable as HCPCS priced under one methodology,2134,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,J=Diabetic shoes (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7170-L7191,Prosthetic Procedures - Upper Limb - Additions to Electronic Elbow,,,FALSE,C5228982,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7120,"Ringers lactate infusion, up to 1000 cc",,,FALSE,C0499056,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S9453,"Smoking cessation classes, non-physician provider, per session",,,FALSE,C1145350,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7525,"Tacrolimus, parenteral, 5 mg",,,FALSE,C0919078,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20010101,0,O1E=Other drugs,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,20080101,,YY,51=Drugs,,,G=Immunosuppressive drugs|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0202,"Injection, alemtuzumab, 1 mg",,,FALSE,C4067593,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1832,"Autograft suspension, including cell processing and application, and all system components",,,FALSE,C5574437,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20220101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20220101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),9=Other medical items or services|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0037,"On date of encounter, patient is not able to participate in assessment or screening, including non-verbal patients, delirious, severely aphasic, severely developmentally delayed, severe visual or hearing impairment and for those patients, no knowledgeable informant available",,,FALSE,C5574463,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S0169,"Calcitrol, 0.25 microgram",,,FALSE,C2959326,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20101001,0,Z2=Undefined codes,I=Not payable by Medicare,20101001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/T2045,Hospice general inpatient care; per diem,,,FALSE,C1314645,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1287,Bmi is documented below normal parameters and a follow-up plan is documented,,,FALSE,C5849217,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9434,"Asthma not well-controlled based on the act, c-act, acq, or ataq score, or specified asthma control tool not used, reason not given",,,FALSE,C3871332,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q0504,"Power adapter for pneumatic ventricular assist device, replacement only, vehicle type",,,FALSE,C1617362,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4290,"Membrane wrap-hydro, per square centimeter",,,FALSE,C5884258,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0500-E0530,IPPB Machines,,,FALSE,C1458060,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H0044,"Supported housing, per month",,,FALSE,C1145177,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S4011,"In vitro fertilization; including but not limited to identification and incubation of mature oocytes, fertilization with sperm, incubation of embryo(s), and subsequent visualization for determination of development",,,FALSE,C0994132,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C9767,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performed",,,FALSE,C5439654,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20200701,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20200701,,YY,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0082,"Limited (30 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)",,,FALSE,C4746312,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0068-G0090,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J2597,"Injection, desmopressin acetate, per 1 mcg",,,FALSE,C0498964,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19960101,,,A=Not applicable as HCPCS priced under one methodology,2049,20130101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0176,"Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)",,,FALSE,C0919003,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20240101,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0102=SERVICES REPRESENTED BY G0176 AND G0177 MAY BE REPORTED BY HOPD AND PARTIAL HOSPITALIZATION PROGRAMS ONLY (1861FF).,,U=Occupational therapy,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4230,"Cogenex flowable amnion, per 0.5 cc",,,FALSE,C5439774,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L7040,"Prehensile actuator, switch controlled",,,FALSE,C0500126,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7007-L7045,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4113,"Graftjacket xpress, injectable, 1 cc",,,FALSE,C2959315,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20110101,0,O1E=Other drugs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A9567,"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries",,,FALSE,C1618397,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2601-E2621,Wheelchair: Cushions,,,FALSE,C0180256,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8427,"Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications",,,FALSE,C2959138,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20170101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2500-L2550,Additions to Thigh/Weight Bearing Gluteal/Ischial Weight Bearing Orthotics,,,FALSE,C5228965,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1600-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9698,"Non-radioactive contrast imaging material, not otherwise classified, per study",,,FALSE,C1617882,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,15022,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/S9124,"Nursing care, in the home; by licensed practical nurse, per hour",,,FALSE,C0812848,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4302,"Complete aca, per square centimeter",,,FALSE,C5884269,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Q4204,"Xwrap, per square centimeter",,,FALSE,C4746498,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G8465,High or very high risk of recurrence of prostate cancer,,,FALSE,C2979955,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20160101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1235,Documentation or patient report of hcv antibody test or hcv rna test which occurred prior to the performance period,,,FALSE,C5884140,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4032,"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass",,,FALSE,C0994027,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2760,"Injection, phentolamine mesylate, up to 5 mg",,,FALSE,C0498978,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,20140101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A7509,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each",,,FALSE,C0918334,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7501-A7527,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0300,"Injection, amobarbital, up to 125 mg",,,FALSE,C0498761,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,20120101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2015,"Comprehensive (60 mins) home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility.)",,,FALSE,C5229048,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1041,"Patient had cancer, acute fracture or infection related to the lumbar spine or patient had neuromuscular, idiopathic or congenital lumbar scoliosis",,,FALSE,C4722310,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L6721,"Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined",,,FALSE,C1971368,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6700-L6882,N=No maintenance for this code,20090101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4217,"Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter",,,FALSE,C5229208,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A6230,"Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",,,FALSE,C0520042,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9294,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg",,,FALSE,C5884100,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,20230401,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0888,"Injection, epoetin beta, 1 microgram, (for non esrd use)",,,FALSE,C3854123,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,D=Special coverage instructions apply,20150101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,57=Other carrier priced,"0195=PUB. 100-4, CH.4, SEC 240.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5288,"Assistive listening device, personal fm/dm transmitter assistive listening device",,,FALSE,C3534646,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5268-V5290,N=No maintenance for this code,20130101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862a7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4332,"Axolotl dualgraft, per square centimeter",,,FALSE,C5974409,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A6451,"Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard",,,FALSE,C1314253,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6413-A6461,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1100,"Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests",,,FALSE,C0498588,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1100-E1110,N=No maintenance for this code,19880101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0403-G0405,Electrocardiogram,,,FALSE,C1623258,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A6565,"Gradient compression gauntlet, custom, each",,,FALSE,C5883907,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9714,Patient is using hospice services any time during the measurement period,,,FALSE,C4283832,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L6300,"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm",,,FALSE,C0500003,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6300-L6320,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",,,FALSE,C1314259,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20040101,0,D1E=Other DME,D=Special coverage instructions apply,20040101,60-17,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C8903,"Magnetic resonance imaging with contrast, breast; unilateral",,,FALSE,C0993822,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8900-C8920,N=No maintenance for this code,20011001,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20011001,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/C2640,"Brachytherapy source, stranded, palladium-103, per source",,,FALSE,C1971550,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2634-C2699,N=No maintenance for this code,20070701,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20070701,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,Hearing Services - Hearing Aids,,,FALSE,C0554812,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20V5000-V5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L4030,"Replace quadrilateral socket brim, custom fitted",,,FALSE,C0499801,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4000-L4210,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A7522,"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each",,,FALSE,C1314262,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7501-A7527,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5716,"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock",,,FALSE,C0499943,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5710-L5780,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q5122,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg",,,FALSE,C5439799,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20230401,0,O1E=Other drugs,C=Carrier judgment,20210101,,,A=Not applicable as HCPCS priced under one methodology,,20210101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9555,"Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries",,,FALSE,C1618338,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,99=Value not established,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/E1231,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system",,,FALSE,C1145111,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1229-E1239,N=No maintenance for this code,20090101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20030101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1808,"Injection, folic acid, 0.1 mg",,,FALSE,C5979730,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,D=Special coverage instructions apply,20250401,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1424,Pulmonology care mips value pathway,,,FALSE,C5974371,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1271,Patients with dementia at any time prior to or during the month,,,FALSE,C5884176,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9356,Elective delivery (without medical indication) by cesarean birth or induction of labor performed (<39 weeks of gestation),,,FALSE,C3710446,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J3520,"Edetate disodium, per 150 mg",,,FALSE,C0499037,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19960101,0,O1E=Other drugs,M=Non-covered by Medicare,19860101,45-20|35-64,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L0140,"Cervical, semi-rigid, adjustable (plastic collar)",,,FALSE,C0499393,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0112-L0174,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4013,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster",,,FALSE,C0994008,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0607,Home blood glucose monitor,,,FALSE,C0917953,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0607-E0620,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-11,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1604,"Graft, transmural transvenous arterial bypass (implantable), with all delivery system components",,,FALSE,C5884280,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1052-C1715,N=No maintenance for this code,20240101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,53=Statute,,1833(T),9=Other medical items or services|F=Ambulatory surgical center (facility usage for surgical services)|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4137,"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter",,,FALSE,C4746478,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/MS,Six month maintenance and servicing fee for reasonable and necessary parts and labor which are not covered under any manufacturer or supplier warranty,,,FALSE,C0497650,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19890101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/M2,Medicare secondary payer (msp),,,FALSE,C1736660,http://purl.bioontology.org/ontology/STY/T093,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20070101,,,C=Carrier judgment,20070101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T093
http://purl.bioontology.org/ontology/HCPCS/C8912,"Magnetic resonance angiography with contrast, lower extremity",,,FALSE,C0993831,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8900-C8920,N=No maintenance for this code,20011001,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20011001,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/S0176,"Hydroxyurea, oral, 500 mg",,,FALSE,C0994060,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2020,"Injection, linezolid, 200 mg",,,FALSE,C0993945,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1746,"Injection, ibalizumab-uiyk, 10 mg",,,FALSE,C4746406,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8664,Residual score for the shoulder impairment successfully calculated and the score was less than zero (< 0),,,FALSE,C4746338,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0747,"Osteogenesis stimulator, electrical, non-invasive, other than spinal applications",,,FALSE,C0498505,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,19970101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,35-48,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4263,"Surgraft tl, per square centimeter",,,FALSE,C5771720,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230101,0,O1E=Other drugs,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L8603,"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies",,,FALSE,C0520230,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8603-L8607,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19950101,65.9,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4918,"Venous pressure clamp, for hemodialysis, each",,,FALSE,C0497933,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4392,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each",,,FALSE,C0812619,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2080,"Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure",,,FALSE,C5229071,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,M5D=Specialist - other,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A2010,"Apis, per square centimeter",,,FALSE,C5574429,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20220101,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20220101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2170,"Injection, mecasermin, 1 mg",,,FALSE,C1741943,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20070101,0,O1E=Other drugs,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L8621,"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each",,,FALSE,C1509074,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8608-L8629,N=No maintenance for this code,20160101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/Q4238,"Derm-maxx, per square centimeter",,,FALSE,C5439782,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/C8935,"Magnetic resonance angiography without contrast, upper extremity",,,FALSE,C2958899,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8931-C8937,N=No maintenance for this code,20101001,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20101001,,,A=Not applicable as HCPCS priced under one methodology,,20101001,,YY,53=Statute,,1833(t),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/E2402,"Negative pressure wound therapy electrical pump, stationary or portable",,,FALSE,C0919088,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2402-E2402,N=No maintenance for this code,20040101,0,D1E=Other DME,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/B4149,"Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",,,FALSE,C1508843,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4100-B4162,N=No maintenance for this code,20060101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,20050101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,Other Upper Extremity Orthotics,,,FALSE,C4542629,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L3650-L3999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0446,"Topical oxygen delivery system, not otherwise specified, includes all supplies and accessories",,,FALSE,C2958933,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20171001,0,D1E=Other DME,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0170=SEE NCD 20.29.,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,Prosthetic Procedures - Lower Limb - Endoskeletal,,,FALSE,C0813084,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4429,"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",,,FALSE,C1314231,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9417,"Patient did not have one tetanus, diphtheria toxoids and acellular pertussis vaccine (tdap) on or between the patient's 10th and 13th birthdays",,,FALSE,C3871323,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1175,"Documentation of medical reason(s) for not administering zoster vaccine (e.g., prior anaphylaxis due to the zoster vaccine)",,,FALSE,C5771682,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J1308,"Injection, famotidine, 0.25 mg",,,FALSE,C5979729,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5150,"Binaural, glasses",,,FALSE,C0500442,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,19950101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J9218,"Leuprolide acetate, per 1 mg",,,FALSE,C0499141,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20230101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2049,20230101,,YY,51=Drugs,0014=CLAIMS SUBMITTED WITH THIS CODE (J9218) WITH OR WITHOUT A MULTIPLIER IN THE UNITS FIELD SHOULD BE REVIEWED IN TERMS OF THE POLICY PERTAINING TO SELF ADMINISTERED DRUGS.,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0337,"Hospice evaluation and counseling services, pre-election",,,FALSE,C1508972,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20050101,0,M5D=Specialist - other,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J1412,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10^13 vector genomes",,,FALSE,C5884048,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0138,"Finasteride, 5 mg",,,FALSE,C1314712,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K0017,"Detachable, adjustable height armrest, base, replacement only, each",,,FALSE,C0499178,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20160101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0573,"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine",,,FALSE,C4067595,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20170101,0,O1E=Other drugs,D=Special coverage instructions apply,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0127=PUBLICATION 100.2, CHAPTER 15, 50.1.",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1130,"Injection, diclofenac sodium, 0.5 mg",,,FALSE,C4316101,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/H2020,"Therapeutic behavioral services, per diem",,,FALSE,C1314393,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4324,"Amniotx, per square centimeter",,,FALSE,C5974401,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,Skin Substitute Graft Application and Miscellaneous Device Placement,,,FALSE,C5974065,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20C1000-C9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L1310,"Other scoliosis procedure, post-operative body jacket",,,FALSE,C0499480,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1300-L1499,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2191,Patients with clinical indications for imaging of the head: positional headaches,,,FALSE,C5439704,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L6707,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined",,,FALSE,C1738032,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6700-L6882,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2624,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each",,,FALSE,C0499614,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2570-L2680,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1301,Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy),,,FALSE,C5849214,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1390,Patients who do not have a documented exam performed for recurrence of melanoma or no documentation within the performance period,,,FALSE,C5974337,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E1035,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs",,,FALSE,C2729175,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1031-E1039,N=No maintenance for this code,20100101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2100,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9651,"Psoriasis assessment tool documented not meeting any one of the specified benchmarks (e.g., (pga; 5-point or 6-point scale), body surface area (bsa), psoriasis area and severity index (pasi) and/or dermatology life quality index) (dlqi)) or psoriasis assessment tool not documented",,,FALSE,C4722497,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A9588,"Fluciclovine f-18, diagnostic, 1 millicurie",,,FALSE,C4283866,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4890,"Contracts, repair and maintenance, for hemodialysis equipment",,,FALSE,C0497925,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2100.4,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2192,Patients with clinical indications for imaging of the head: temporal headaches in patients over 55 years of age,,,FALSE,C5439705,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5781-L5783,Prosthetic Procedures - Lower Limb - Vacuum Pumps,,,FALSE,C5228975,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J8600,"Melphalan; oral, 2 mg",,,FALSE,C0520239,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,N=No maintenance for this code,20240101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q1004-Q1005,New Technology: Intraocular Lens (CMS Temporary Codes),,,FALSE,C2729406,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/T2002,Non-emergency transportation; per diem,,,FALSE,C1145378,http://purl.bioontology.org/ontology/STY/T057,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T057
http://purl.bioontology.org/ontology/HCPCS/V2309,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens",,,FALSE,C0500366,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J7326,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose",,,FALSE,C3248652,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7318-J7329,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,20120101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0148,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening",,,FALSE,C0694947,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,19990101,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,19990101,,630=Cytology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,"0045=SEE INTERMEDIARY MANUAL 3628.1A FOR PAYMENT INSTRUCTIONS. (P3000,P3001 G0123, G0124, G0141, G0143, G0144, G0145, G0147, G0148). PROGRAM MEMORANDUM AB-98-71.60.",,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/J2469,"Injection, palonosetron hcl, 25 mcg",,,FALSE,C1509013,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9543,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries",,,FALSE,C1616293,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/G0311,"Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 16-30 mins time (this code is used for medicaid billing purposes)",,,FALSE,C5771581,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20220511,0,M5D=Specialist - other,I=Not payable by Medicare,20220511,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,99=Value not established,0225=SERVICES FOR MEDICAID PURPOSES.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J9264,"Injection, paclitaxel protein-bound particles, 1 mg",,,FALSE,C1617352,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20070101,0,O1E=Other drugs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1960,"Injection, levorphanol tartrate, up to 2 mg",,,FALSE,C0498917,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8654,"Residual score for the hip impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge, reason not given",,,FALSE,C4746328,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/H0034,"Medication training and support, per 15 minutes",,,FALSE,C1145167,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2919,"Injection, methylprednisolone sodium succinate, 5 mg",,,FALSE,C5974266,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,D=Special coverage instructions apply,20240401,,,A=Not applicable as HCPCS priced under one methodology,2049,20250101,,YY,51=Drugs,,,G=Immunosuppressive drugs|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E2342,"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches",,,FALSE,C1314355,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1559,"Injection, immune globulin (hizentra), 100 mg",,,FALSE,C2959249,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20110101,0,O1E=Other drugs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,20110101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",,,FALSE,C0498416,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19910101,0,D1B=Hospital beds,D=Special coverage instructions apply,19860101,60-18,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0590,"Integral lens service, miscellaneous services reported separately",,,FALSE,C0994095,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0500-S0596,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7639,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",,,FALSE,C0520203,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20090101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1806,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories",,,FALSE,C0993871,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20080101,0,D1E=Other DME,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1620,"Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710501,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1600-L1690,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S5170,"Home delivered meals, including preparation; per meal",,,FALSE,C1314578,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0767,"Intrabuccal, systemic delivery of amplitude-modulated, radiofrequency electromagnetic field device, for cancer treatment, includes all accessories",,,FALSE,C5974133,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20241001,0,D1E=Other DME,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9386,"Screening for hcv infection not received within the 12 month reporting period, reason not given",,,FALSE,C3871298,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1220,Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; with evidence of retinopathy,,,FALSE,C5884126,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/L5780,"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control",,,FALSE,C0499949,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5710-L5780,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,Chemotherapy Drugs,,,FALSE,C0812987,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20J0100-J9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C5274,"Application of low cost 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)",,,FALSE,C3684529,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20140101,0,P5A=Ambulatory procedures - skin,D=Special coverage instructions apply,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),2=Surgery|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S5146,"Foster care, therapeutic, child; per month",,,FALSE,C1314571,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0575,"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine",,,FALSE,C4067597,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,D=Special coverage instructions apply,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0127=PUBLICATION 100.2, CHAPTER 15, 50.1.",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2109,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens",,,FALSE,C0500324,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2100-V2199,N=No maintenance for this code,19850101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9474,"Enterostomal therapy by a registered nurse certified in enterostomal therapy, per diem",,,FALSE,C0812862,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4160,"Nushield, per square centimeter",,,FALSE,C3871398,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20150101,0,O1E=Other drugs,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/S2235,Implantation of auditory brain stem implant,,,FALSE,C1314519,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",,,FALSE,C0520034,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T1013,"Sign language or oral interpretive services, per 15 minutes",,,FALSE,C0994287,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4286,"Nudyn sl or nudyn slw, per square centimeter",,,FALSE,C5884254,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20231001,0,O1E=Other drugs,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G0390,Trauma response team associated with hospital critical care service,,,FALSE,C1739981,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0390-G0390,N=No maintenance for this code,20070101,0,M5D=Specialist - other,D=Special coverage instructions apply,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0136=PAID ON THE OPPS FEE SCHEDULE FOR USE WITH REV CODE 068X.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4237,"Cryo-cord, per square centimeter",,,FALSE,C5439781,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/V2513,"Contact lens, gas permeable, extended wear, per lens",,,FALSE,C0500389,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2500-V2599,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1012,Discharge/discontinuation of the episode of care documented in the medical record,,,FALSE,C5203695,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L6688,"Upper extremity addition, frame type socket, above elbow or elbow disarticulation",,,FALSE,C0500056,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9490,"Home infusion therapy, corticosteroid infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C1314607,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9490-S9810,N=No maintenance for this code,20020701,0,Z2=Undefined codes,I=Not payable by Medicare,20020701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4320,"Irrigation tray with bulb or piston syringe, any purpose",,,FALSE,C0497818,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,19920101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0250,"Hospital bed, fixed height, with any type side rails, with mattress",,,FALSE,C0498412,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19910101,0,D1B=Hospital beds,D=Special coverage instructions apply,19860101,60-18,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A7029,"Nasal pillows for combination oral/nasal mask, replacement only, pair",,,FALSE,C1971393,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20080101,0,D1E=Other DME,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0890,"Traction frame, attached to footboard, pelvic traction",,,FALSE,C0498522,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,19940101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H0035,"Mental health partial hospitalization, treatment, less than 24 hours",,,FALSE,C1145168,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6259,"Transparent film, sterile, more than 48 sq. in., each dressing",,,FALSE,C0520067,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4245,"Alcohol wipes, per box",,,FALSE,C0497794,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20070101,0,D1A=Medical/surgical supplies,C=Carrier judgment,19850101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5540,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model",,,FALSE,C0499856,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5510-L5600,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J3111,"Injection, romosozumab-aqqg, 1 mg",,,FALSE,C5229162,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,20191001,,YY,51=Drugs,0120=SEE BPM (BENEFIT POLICY MANUAL) 7/50.4.3.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4246,"Coretext or protext, per cc",,,FALSE,C5439789,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/S8042,"Magnetic resonance imaging (mri), low-field",,,FALSE,C1145331,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8030-S8092,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A2027,"Matriderm, per square centimeter",,,FALSE,C5974074,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20241001,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9098,"Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)",,,FALSE,C1621002,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T2046,"Hospice long term care, room and board only; per diem",,,FALSE,C1314646,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L1025,"Addition to ctlso or scoliosis orthosis, kyphosis pad, floating",,,FALSE,C0499457,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1000-L1120,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9731,"Patient unable to complete the lepf prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available",,,FALSE,C5551249,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9879,"Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 10-12 under the mdpp expanded model (em). a core maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 7 through 12 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary achieved at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 10-12",,,FALSE,C4746392,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180401,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20180401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G1028,Take-home supply of nasal naloxone; 2-pack of 8mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure,,,FALSE,C5574500,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G1000-G1028,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4176,"Neopatch or therion, per square centimeter",,,FALSE,C4542807,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J0650,"Injection, levothyroxine sodium, not otherwise specified, 10 mcg",,,FALSE,C5974230,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S9372,"Home therapy; intermittent anticoagulant injection therapy (e.g., heparin); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code for flushing of infusion devices with heparin to maintain patency)",,,FALSE,C0994242,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2680,"Addition to lower extremity, thoracic control, lateral support uprights",,,FALSE,C0499622,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2570-L2680,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2003,"Moderate (45 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)",,,FALSE,C5229039,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0440,"Stationary liquid oxygen system, purchase; includes use of reservoir, contents indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing",,,FALSE,C0498447,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,19930101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19860101,60-4,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4107.9,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T2010,"Preadmission screening and resident review (pasrr) level i identification screening, per screen",,,FALSE,C1314610,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0112=THE BASIS FOR THE PASRR LEVEL I SCREEN IS IN REGULATIONS ONLY AT 42 CFR 483.128(a).,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4218,"Surgicord, per square centimeter",,,FALSE,C5229209,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J9023,"Injection, avelumab, 10 mg",,,FALSE,C4542694,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,20180101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0034,"Injection, ofloxacin, 400 mg",,,FALSE,C0812784,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6970,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device",,,FALSE,C0500118,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6920-L6975,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0315,"Bed accessory: board, table, or support device, any type",,,FALSE,C0498435,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19970101,0,D1B=Hospital beds,M=Non-covered by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6965,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device",,,FALSE,C0500117,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6920-L6975,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L7401,"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal)",,,FALSE,C1621016,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7400-L7406,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4728,"Dialysate solution, non-dextrose containing, 500 ml",,,FALSE,C1314241,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),C=Carrier judgment,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0558,"Advanced primary care management services for a patient that is a qualified medicare beneficiary with multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, which place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, provided by clinical staff and directed by a physician or other qualified health care professional who is responsible for all primary care and serves as the continuing focal point for all needed health care services, per calendar month",,,FALSE,C5974191,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,"Advanced primary care management services for a patient that is a qualified medicare beneficiary with multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, which place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, provided by clinical staff and directed by a physician or other qualified health care professional who is responsible for all primary care and serves as the continuing focal point for all needed health care services, per calendar month, with the following elements, as appropriate: consent; ++ inform the patient of the availability of the service; that only one practitioner can furnish and be paid for the service during a calendar month; of the right to stop the services at any time (effective at the end of the calendar month); and that cost sharing may apply. ++ document in patient's medical record that consent was obtained. initiation during a qualifying visit for new patients or patients not seen within 3 years; provide 24/7 access for urgent needs to care team/practitioner, including providing patients/caregivers with a way to contact health care professionals in the practice to discuss urgent needs regardless of the time of day or day of week; continuity of care with a designated member of the care team with whom the patient is able to schedule successive routine appointments; deliver care in alternative ways to traditional office visits to best meet the patient's needs, such as home visits and/or expanded hours; overall comprehensive care management; ++ systematic needs assessment (medical and psychosocial). ++ system-based approaches to ensure receipt of preventive services. ++ medication reconciliation, management and oversight of self-management. development, implementation, revision, and maintenance of an electronic patient-centered comprehensive care plan; ++ care plan is available timely within and outside the billing practice as appropriate to individuals involved in the beneficiary's care, can be routinely accessed and updated by care team/practitioner, and copy of care plan to patient/caregiver; coordination of care transitions between and among health care providers and settings, including referrals to other clinicians and follow-up after an emergency department visit and discharges from hospitals, skilled nursing facilities or other health care facilities as applicable; ++ ensure timely exchange of electronic health information with other practitioners and providers to support continuity of care. ++ ensure timely follow-up communication (direct contact, telephone, electronic) with the patient and/or caregiver after an emergency department visit and discharges from hospitals, skilled nursing facilities, or other health care facilities, within 7 calendar days of discharge, as clinically indicated. ongoing communication and coordinating receipt of needed services from practitioners, home- and community-based service providers, community-based social service providers, hospitals, and skilled nursing facilities (or other health care facilities), and document communication regarding the patient's psychosocial strengths and needs, functional deficits, goals, preferences, and desired outcomes, including cultural and linguistic factors, in the patient's medical record; enhanced opportunities for the beneficiary and any caregiver to communicate with the care team/practitioner regarding the beneficiary's care through the use of asynchronous non-face-to-face consultation methods other than telephone, such as secure messaging, email, internet, or patient portal, and other communication-technology based services, including remote evaluation of pre-recorded patient information and interprofessional telephone/internet/ehr referral service(s), to maintain ongoing communication with patients, as appropriate; ++ ensure access to patient-initiated digital communications that require a clinical decision, such as virtual check-ins and digital online assessment and management and e/m visits (or e-visits). analyze patient population data to identify gaps in care and offer additional interventions, as appropriate; risk stratify the practice population based on defined diagnoses, claims, or other electronic data to identify and target services to patients; be assessed through performance measurement of primary care quality, total cost of care, and meaningful use of certified ehr technology",,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9339,"Home therapy; peritoneal dialysis, administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994219,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1148,"Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)",,,FALSE,C5203750,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1049,Functional status was not measured by the oswestry disability index (odi version 2.1a) at three months (6 - 20 weeks) postoperatively,,,FALSE,C5229187,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J3480,"Injection, potassium chloride, per 2 meq",,,FALSE,C0499035,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19960101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0128,"Direct (face-to-face with patient) skilled nursing services of a registered nurse provided in a comprehensive outpatient rehabilitation facility, each 10 minutes beyond the first 5 minutes",,,FALSE,C0694937,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,19980401,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,19980401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,99=Value not established,0070=G0128 MAY BE BILLED BY A COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY ONLY. G0128 ESTABLISHED TO IMPLEMENT BBA (97) SECTION 4541(a)(2).,1833(a),1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J3470,"Injection, hyaluronidase, up to 150 units",,,FALSE,C0499033,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2310,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens",,,FALSE,C0500367,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S2225,"Myringotomy, laser-assisted",,,FALSE,C1314517,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20040101,0,Z2=Undefined codes,I=Not payable by Medicare,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",,,FALSE,C0497995,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4164-B5200,N=No maintenance for this code,20020101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19880101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/V2110,"Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens",,,FALSE,C0500325,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2100-V2199,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C1881,Dialysis access system (implantable),,,FALSE,C0993785,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0050,"Ratchet assembly, replacement only",,,FALSE,C0499209,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4630-A4640,Replacement Parts,,,FALSE,C0812883,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/S5518,"Home infusion therapy, all supplies necessary for catheter repair",,,FALSE,C0994157,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5497-S5523,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2624,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth",,,FALSE,C2958937,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2622-E2625,N=No maintenance for this code,20110101,0,D1D=Wheelchairs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1380,"Injection, estradiol valerate, up to 10 mg",,,FALSE,C0498858,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4255,"Platforms for home blood glucose monitor, 50 per box",,,FALSE,C0497799,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20020101,0,D1E=Other DME,D=Special coverage instructions apply,19970101,60-11,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0432,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening",,,FALSE,C2958950,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0432-G0435,N=No maintenance for this code,20101001,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,20091208,,140=Virology|220=General immunology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,0164=SEE CHANGE REQUEST 6786.,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A7036,Chinstrap used with positive airway pressure device,,,FALSE,C1144991,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q3001-Q3001,Brachytherapy Radioelements (CMS Temporary Codes),,,FALSE,C2729408,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9430,Specimen site other than anatomic cutaneous location,,,FALSE,C5551253,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0246,"Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education",,,FALSE,C1145121,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20020701,0,M1B=Office visits - established,D=Special coverage instructions apply,20020701,50.81,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8711,Prescribed antibiotic on or within 3 days after the episode date,,,FALSE,C3266807,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,Supplies for Dialysis,,,FALSE,C1971536,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9035,"Injection, bevacizumab, 10 mg",,,FALSE,C1508862,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20050101,0,O1E=Other drugs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0274,"Nurse practitioner visit at member's home, outside of a capitation arrangement",,,FALSE,C1971377,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20070401,0,Z2=Undefined codes,I=Not payable by Medicare,20070401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5050-L5060,Prosthetic Procedures - Ankle,,,FALSE,C0813063,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1170-E1200,Wheelchair: Amputee,,,FALSE,C0812972,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9542,"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries",,,FALSE,C1616802,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/G9038,"Co-management services with the following elements: new diagnosis or acute exacerbation and stabilization of existing condition; condition which may benefit from joint care planning; condition for which specialist is taking a co-management role; condition expected to last at least 3 months; comprehensive care plan established, implemented, revised or monitored in partnership with co-managing clinicians; ongoing communication and care coordination between co-managing clinicians furnishing care",,,FALSE,C5974201,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20240701,0,Z2=Undefined codes,C=Carrier judgment,20240701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S5141,"Foster care, adult; per month",,,FALSE,C1314569,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",,,FALSE,C0520089,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4100-B4162,N=No maintenance for this code,20050101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19860101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/J0278,"Injection, amikacin sulfate, 100 mg",,,FALSE,C0812788,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20060101,0,O1E=Other drugs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9954,Patient exhibits 2 or more risk factors for post-operative vomiting,,,FALSE,C4542774,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5280-L5280,Prosthetic Procedures - Hemipelvectomy,,,FALSE,C0813068,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2782,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens",,,FALSE,C1314658,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,2130.B,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/Q4235,"Amniorepair or altiply, per square centimeter",,,FALSE,C5439779,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/K0108,"Wheelchair component or accessory, not otherwise specified",,,FALSE,C0499266,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,19990701,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9778,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous)",,,FALSE,C5574453,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20210701,0,P5E=Ambulatory procedures - other,D=Special coverage instructions apply,20210701,,,A=Not applicable as HCPCS priced under one methodology,,20210701,,YY,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T4533,"Youth sized disposable incontinence product, brief/diaper, each",,,FALSE,C1509115,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20050101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/B4157,"Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",,,FALSE,C1508844,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4100-B4162,N=No maintenance for this code,20050101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,20050101,65-10,,A=Not applicable as HCPCS priced under one methodology,,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/V2221,"Lenticular lens, per lens, bifocal",,,FALSE,C1314652,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,2130.B,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0103,Prostate cancer screening; prostate specific antigen test (psa),,,FALSE,C0812710,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0101-G0106,N=No maintenance for this code,20070101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20000101,50-55,310=Routine chemistry,A=Not applicable as HCPCS priced under one methodology,4182,,,,21=Price subject to national limitation amount,"0064=COVERAGE AND PAYMENT BASED ON BALANCED BUDGET ACT OF 1997 (G0101 - SEC 4102; G0104, G0105, G0106, G0107, G0120, G0121, G0122, G0128 - SEC 4104).",,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/L0470,"Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic, thoracic, and lateral frame pieces, rotational strength provided by subclavicular extensions, restricts gross trunk motion in sagittal, coronal, and transverse planes, provides intracavitary pressure to reduce load on the intervertebral disks, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment",,,FALSE,C1145262,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0155,"Services of clinical social worker in home health or hospice settings, each 15 minutes",,,FALSE,C0812716,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20100101,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,19990701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0082=G0151-G0156 MAY BE BILLED ONLY FOR HOME HEALTH CARE SERVICES PROVIDED UNDER A PLAN OF CARE. SEE CR#588.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S8948,Application of a modality (requiring constant provider attendance) to one or more areas; low-level laser; each 15 minutes,,,FALSE,C1314601,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20040101,0,Z2=Undefined codes,I=Not payable by Medicare,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2410-V2499,"Variable Asphericity Lens, Glass, or Plastic",,,FALSE,C0813137,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20V0000-V2999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2136,Back pain measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively was less than or equal to 3.0 or back pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated an improvement of 5.0 points or greater,,,FALSE,C5229098,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0043,Patients with mechanical prosthetic heart valve,,,FALSE,C5574469,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9884,"Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 19-21 under the mdpp expanded model (em). an ongoing maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 13 through 24 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary maintained at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at an ongoing maintenance session in months 19-21",,,FALSE,C4746397,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180401,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20180401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9516,"Patient achieved an improvement in visual acuity, from their preoperative level, within 90 days of surgery",,,FALSE,C4067467,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1260,Patient status not documented within the first year of initiating dialysis,,,FALSE,C5974312,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C7519,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress",,,FALSE,C5771533,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20250101,0,P2F=Major procedure - cardiovascular - Other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/S9960,"Ambulance service, conventional air service, nonemergency transport, one way (fixed wing)",,,FALSE,C3710573,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9900-S9999,N=No maintenance for this code,20140101,0,O1A=Ambulance,I=Not payable by Medicare,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L1960,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated",,,FALSE,C0499529,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1900-L1990,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1230,"Injection, methadone hcl, up to 10 mg",,,FALSE,C0498847,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A2030,"Miro3d fibers, per milligram",,,FALSE,C5979692,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,A=Add procedure or modifier code,20250401,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L4130,Replace pretibial shell,,,FALSE,C0499812,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4000-L4210,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19840101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",,,FALSE,C0520086,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4100-B4162,N=No maintenance for this code,20050101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19860101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/T5999,"Supply, not otherwise specified",,,FALSE,C1314650,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20040101,0,Z2=Undefined codes,I=Not payable by Medicare,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0689,"Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg",,,FALSE,C5771605,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,2049,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L8619,"Cochlear implant, external speech processor and controller, integrated system, replacement",,,FALSE,C2729358,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8608-L8629,N=No maintenance for this code,20100101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19960101,65-14,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T1027,"Family training and counseling for child development, per 15 minutes",,,FALSE,C1145369,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3350,Heel wedge,,,FALSE,C0499694,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3340-L3420,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2403,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg",,,FALSE,C5884070,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230401,0,O1E=Other drugs,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,20230401,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3650,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf",,,FALSE,C3710516,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3650-L3678,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T2015,"Habilitation, prevocational, waiver; per hour",,,FALSE,C1314615,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0760,"Osteogenesis stimulator, low intensity ultrasound, non-invasive",,,FALSE,C0498511,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20010101,0,D1E=Other DME,C=Carrier judgment,19970101,,,A=Not applicable as HCPCS priced under one methodology,35-48,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1240-E1270,Wheelchair: Lightweight,,,FALSE,C0499164,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1200,"Injection, diphenhydramine hcl, up to 50 mg",,,FALSE,C0498844,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",,,FALSE,C0497980,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4034-B4088,N=No maintenance for this code,20110101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19860101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A7037,Tubing used with positive airway pressure device,,,FALSE,C0499317,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1717,"Brachytherapy source, non-stranded, high dose rate iridium-192, per source",,,FALSE,C0993728,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1716-C1719,N=No maintenance for this code,20010401,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(T),6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9364,"Sinusitis caused by, or presumed to be caused by, bacterial infection",,,FALSE,C3871283,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L1971,"Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment",,,FALSE,C1314465,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1900-L1990,C=Change in long description of procedure or modifier code,20250401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S2342,"Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral",,,FALSE,C0994111,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1322,Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop =<25 mm hg for injected eye,,,FALSE,C5884187,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0750,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)",,,FALSE,C5884036,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,D=Special coverage instructions apply,20240102,,,A=Not applicable as HCPCS priced under one methodology,2049,20250101,,YY,57=Other carrier priced,,1861(ddd),1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8882,"Sentinel lymph node biopsy procedure not performed, reason not given",,,FALSE,C3248616,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J1457,"Injection, gallium nitrate, 1 mg",,,FALSE,C1509011,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20050101,0,O1E=Other drugs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q5103,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",,,FALSE,C4746500,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20180401,0,O1E=Other drugs,D=Special coverage instructions apply,20180401,,,A=Not applicable as HCPCS priced under one methodology,,20180401,,YY,51=Drugs,"0187=PUB. 100-4, CHAPTER 17.",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7624,"Betamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram",,,FALSE,C0993957,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9091,"Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t3, n0, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1618882,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9444,"Parenting classes, non-physician provider, per session",,,FALSE,C1145345,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/K0672,"Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each",,,FALSE,C2368492,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0669-K0746,N=No maintenance for this code,20080401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20080401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0944,Pelvic belt/harness/boot,,,FALSE,C0498531,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,19960101,0,D1E=Other DME,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9460,"Injection, cangrelor, 1 mg",,,FALSE,C4067414,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20160101,0,O1E=Other drugs,D=Special coverage instructions apply,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,53=Statute,,1833(t),1=Medical care|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0550-E0585,Humidifiers/Compressors/Nebulizers for Use with Oxygen IPPB Equipment,,,FALSE,C0812958,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9480,"Intensive outpatient psychiatric services, per diem",,,FALSE,C0812864,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L0720,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C5979742,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0700-L0720,A=Add procedure or modifier code,20250401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T1040,"Medicaid certified community behavioral health clinic services, per diem",,,FALSE,C4316073,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,I=Not payable by Medicare,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2632,"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control",,,FALSE,C3248411,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2626-E2633,N=No maintenance for this code,20120101,0,D1D=Wheelchairs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0878,"Injection, daptomycin, 1 mg",,,FALSE,C1509010,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9582,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries",,,FALSE,C2729455,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/Q5134,"Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg",,,FALSE,C5974432,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1230,Power operated vehicle (three or four wheel nonhighway) specify brand name and model number,,,FALSE,C0498614,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1229-E1239,N=No maintenance for this code,19910101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-5,,A=Not applicable as HCPCS priced under one methodology,4107.6,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/E0766,"Electrical stimulation device used for cancer treatment, includes all accessories, any type",,,FALSE,C3710283,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20140101,0,D1E=Other DME,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,31=Frequently serviced DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S3852,Dna analysis for apoe epsilon 4 allele for susceptibility to alzheimer's disease,,,FALSE,C1314548,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S3800-S3870,N=No maintenance for this code,20030701,0,Z2=Undefined codes,I=Not payable by Medicare,20030701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/L8044,"Hemi-facial prosthesis, provided by a non-physician",,,FALSE,C0919104,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8040-L8049,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1738,"Injection, meloxicam, 1 mg",,,FALSE,C5434247,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20201001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/P9034,"Platelets, pheresis, each unit",,,FALSE,C0919114,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20010101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2455,,,,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/J1826,"Injection, interferon beta-1a, 30 mcg",,,FALSE,C2959253,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,20170101,,YY,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",,,FALSE,C0498446,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20010101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19930101,60-4,,A=Not applicable as HCPCS priced under one methodology,4107.9,,,,33=Oxygen and oxygen equipment (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0531,"Facility-based respite, 24-hour unit, for use in cmmi model",,,FALSE,C5974164,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0519-G0531,N=No maintenance for this code,20240701,0,Z2=Undefined codes,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9141,"Diabetic management program, follow-up visit to md provider",,,FALSE,C0812855,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2210,"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint",,,FALSE,C0499569,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C9364,"Porcine implant, permacol, per square centimeter",,,FALSE,C2729471,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20090701,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20090701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,621MMA,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3917,"Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710530,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5273,"Assistive listening device, for use with cochlear implant",,,FALSE,C0994321,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5268-V5290,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8661,"Risk-adjusted functional status change residual score for the low back impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate",,,FALSE,C4746335,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20190101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J2560,"Injection, phenobarbital sodium, up to 120 mg",,,FALSE,C0520147,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6709,"Terminal device, hand, mechanical, voluntary closing, any material, any size",,,FALSE,C1738574,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6700-L6882,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9415,"Patient did not have one dose of meningococcal vaccine (serogroups a, c, w, y) on or between the patient's 11th and 13th birthdays",,,FALSE,C3871321,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/T1010,Meals for individuals receiving alcohol and/or substance abuse services (when meals not included in the program),,,FALSE,C0994284,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0086,"Limited (30 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)",,,FALSE,C4746316,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0068-G0090,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A7000,"Canister, disposable, used with suction pump, each",,,FALSE,C0812621,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20000101,0,D1E=Other DME,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4553,"Non-disposable underpads, all sizes",,,FALSE,C4316286,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20170101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20170101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/J0801,"Injection, corticotropin (acthar gel), up to 40 units",,,FALSE,C5884039,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20231001,0,O1E=Other drugs,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,20231001,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4634,"Replacement bulb for therapeutic light box, tabletop model",,,FALSE,C1144951,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4630-A4640,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0191,"Misoprostol, oral, 200 mcg",,,FALSE,C0994068,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4206,"Syringe with needle, sterile, 1 cc or less, each",,,FALSE,C0497777,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,20080101,0,D1A=Medical/surgical supplies,C=Carrier judgment,19850101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1294,"Normal blood pressure reading documented, follow-up not required",,,FALSE,C5849218,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9123,"Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; chronic phase not in hematologic, cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)",,,FALSE,C1618886,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9352,"More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis, reason not given",,,FALSE,C3710442,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S2900,Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure),,,FALSE,C1616351,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20050701,0,Z2=Undefined codes,I=Not payable by Medicare,20050701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1555,"Injection, immune globulin (cuvitru), 100 mg",,,FALSE,C4542790,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,20180101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8603-L8607,Prosthetic Implants - Bulking Agents,,,FALSE,C4542643,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L8500-L9900,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9156-G9156,Wheelchair Evaluation,,,FALSE,C4542608,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C1898,"Lead, pacemaker, other than transvenous vdd single pass",,,FALSE,C0993797,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L0100-L4999,Orthotics,,,FALSE,C0029365,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20L0000-L9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2720,"Injection, protamine sulfate, per 10 mg",,,FALSE,C0498975,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0046,Clinical follow-up and mrs score not assessed at 90 days following endovascular stroke intervention,,,FALSE,C5574472,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/H0037,"Community psychiatric supportive treatment program, per diem",,,FALSE,C1145170,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C9740,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants",,,FALSE,C3871260,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20140401,0,P5E=Ambulatory procedures - other,D=Special coverage instructions apply,20140401,,,A=Not applicable as HCPCS priced under one methodology,,20140401,,YY,53=Statute,,1833(t),2=Surgery|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J8515,"Cabergoline, oral, 0.25 mg",,,FALSE,C1616333,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,N=No maintenance for this code,20060101,0,O1E=Other drugs,M=Non-covered by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2049.5,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9649,"Psoriasis assessment tool documented meeting any one of the specified benchmarks (e.g., (pga; 5-point or 6-point scale), body surface area (bsa), psoriasis area and severity index (pasi) and/or dermatology life quality index) (dlqi))",,,FALSE,C4746370,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q5123,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg",,,FALSE,C5574639,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20210701,0,O1D=Chemotherapy,C=Carrier judgment,20210701,,,A=Not applicable as HCPCS priced under one methodology,,20210701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2114,"Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens",,,FALSE,C0500329,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2100-V2199,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L6020,"Partial hand, no finger remaining",,,FALSE,C0499993,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6000-L6037,N=No maintenance for this code,20120101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A0384,Bls specialized service disposable supplies; defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances),,,FALSE,C0497759,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20140101,0,O1A=Ambulance,I=Not payable by Medicare,19950101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3204,"Orthopedic shoe, hightop with supinator or pronator, infant",,,FALSE,C0499658,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9272,"Injection, dostarlimab-gxly, 10 mg",,,FALSE,C5574569,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20220101,0,O1D=Chemotherapy,C=Carrier judgment,20220101,,,A=Not applicable as HCPCS priced under one methodology,,20220101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3340-L3420,Shoe Wedges,,,FALSE,C5228969,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3000-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9394,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg",,,FALSE,C5771647,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20230101,0,O1E=Other drugs,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2206,Patient received adjuvant treatment course including both chemotherapy and her2-targeted therapy,,,FALSE,C5439719,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4674,"Chemicals/antiseptics solution used to clean/sterilize dialysis equipment, per 8 oz",,,FALSE,C1314447,http://purl.bioontology.org/ontology/STY/T167,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T167
http://purl.bioontology.org/ontology/HCPCS/MTHU000323,HCPCS Level II Preferred Terms,,,FALSE,C0993650,http://purl.bioontology.org/ontology/STY/T185,http://www.w3.org/2002/07/owl#Thing,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T185
http://purl.bioontology.org/ontology/HCPCS/MTHU000322,"HCPCS Level II Preferred Terms, Obsolete",,,FALSE,C0851276,http://purl.bioontology.org/ontology/STY/T185,http://www.w3.org/2002/07/owl#Thing,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T185
http://purl.bioontology.org/ontology/HCPCS/MTHU000320,HCPCS Level I National Modifiers,,,FALSE,C5771744,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/MTHU000318,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/Q5113,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg",,,FALSE,C5229216,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20231001,0,O1E=Other drugs,C=Carrier judgment,20190701,,,A=Not applicable as HCPCS priced under one methodology,,20231001,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3900,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated",,,FALSE,C0499750,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3806-L3904,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9494,"Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with home infusion codes for hourly dosing schedules s9497-s9504)",,,FALSE,C0994255,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9490-S9810,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V5250,"Hearing aid, digitally programmable analog, binaural, cic",,,FALSE,C0994299,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L7510,"Repair of prosthetic device, repair or replace minor parts",,,FALSE,C0500146,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7499-L7600,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,2100.4|2133|2130D,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0031,Palliative care services given to patient any time during the measurement period,,,FALSE,C5552827,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20V5000-V5999,Hearing Services,,,FALSE,C0500452,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20V0000-V5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J3110,"Injection, teriparatide, 10 mcg",,,FALSE,C1509015,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20050101,0,O1E=Other drugs,D=Special coverage instructions apply,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,0120=SEE BPM (BENEFIT POLICY MANUAL) 7/50.4.3.,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1818,Integrated keratoprosthesis,,,FALSE,C1314279,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20030701,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20030701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833T,S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9057,"Injection, copanlisib, 1 mg",,,FALSE,C4746285,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20190101,0,O1D=Chemotherapy,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7030,"Infusion, normal saline solution , 1000 cc",,,FALSE,C0499045,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8600,Iv thrombolytic therapy initiated within 4.5 hours (<= 270 minutes) of time last known well,,,FALSE,C2729240,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4307,"American amnion, per square centimeter",,,FALSE,C5974384,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G0493,"Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting)",,,FALSE,C4316275,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0493-G0496,N=No maintenance for this code,20170101,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9208-S9214,Home Management of Pregnancy,,,FALSE,C4542662,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20S0000-S9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C8908,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral",,,FALSE,C0993827,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8900-C8920,N=No maintenance for this code,20011001,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20011001,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0500-S0596,Vision Supplies,,,FALSE,C4542653,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20S0000-S9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0601,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis)",,,FALSE,C5974221,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6805,"Addition to terminal device, modifier wrist unit",,,FALSE,C0500080,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6700-L6882,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,2133,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6610,"Upper extremity additions, flexible metal hinge, pair",,,FALSE,C0500027,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0395,"Injection, arbutamine hcl, 1 mg",,,FALSE,C0694953,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20140101,0,O1E=Other drugs,D=Special coverage instructions apply,19990101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6597,"Gradient compression bandage roll, elastic long stretch, linear yard, any width, each",,,FALSE,C5883937,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6593-A6611,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0730,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation",,,FALSE,C0498499,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20070101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,35-20|35-46,,A=Not applicable as HCPCS priced under one methodology,4107.6,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6960,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device",,,FALSE,C0500116,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6920-L6975,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9177,"Injection, enfortumab vedotin-ejfv, 0.25 mg",,,FALSE,C5439752,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20200701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A0428,"Ambulance service, basic life support, non-emergency transport, (bls)",,,FALSE,C0918293,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20010101,0,O1A=Ambulance,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0221,"Injection, alglucosidase alfa, (lumizyme), 10 mg",,,FALSE,C3248642,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20120101,0,O1E=Other drugs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,20120101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1059,Patient was in hospice or receiving palliative care at any time during the performance period,,,FALSE,C4746467,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3764,"Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment",,,FALSE,C1619399,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3702-L3766,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0360,"Injection, hydralazine hcl, up to 20 mg",,,FALSE,C0498765,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L7405,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material",,,FALSE,C1617358,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7400-L7406,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6411,"Eye pad, non-sterile, each",,,FALSE,C1144959,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0491,Dialysis procedure at a medicare certified esrd facility for acute kidney injury without esrd,,,FALSE,C4316277,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0491-G0492,N=No maintenance for this code,20170101,0,P9A=Dialysis services (Medicare fee schedule),C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9436,"Childbirth preparation/lamaze classes, non-physician provider, per session",,,FALSE,C1145341,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4458,"Enema bag with tubing, reusable",,,FALSE,C1144927,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20070101,0,Z2=Undefined codes,C=Carrier judgment,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9281,"Reaching/grabbing device, any type, any length, each",,,FALSE,C1617310,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20060101,0,D1E=Other DME,S=Non-covered by Medicare statute,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862 SSA,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9943,Back pain was not measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively,,,FALSE,C4542769,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S9126,"Hospice care, in the home, per diem",,,FALSE,C0812850,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/K0039,"Leg strap, h style, each",,,FALSE,C0499198,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,19940101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7212,"Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram",,,FALSE,C5439747,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20210101,0,O1E=Other drugs,C=Carrier judgment,20210101,,,A=Not applicable as HCPCS priced under one methodology,,20210101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C7525,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report",,,FALSE,C5771539,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P2F=Major procedure - cardiovascular - Other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",,,FALSE,C0918332,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7501-A7527,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9152,Mapcp demonstration - community health teams,,,FALSE,C3534708,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9148-G9153,N=No maintenance for this code,20110701,0,Z2=Undefined codes,C=Carrier judgment,20110701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7642,"Glycopyrrolate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram",,,FALSE,C0520204,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1602,"Orthopedic/device/drug matrix/absorbable bone void filler, antimicrobial-eluting (implantable)",,,FALSE,C5883963,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1052-C1715,N=No maintenance for this code,20240101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,53=Statute,,1833(T),9=Other medical items or services|F=Ambulatory surgical center (facility usage for surgical services)|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/C1884,Embolization protective system,,,FALSE,C1314280,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833T,9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",,,FALSE,C0918308,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0130,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel)",,,FALSE,C0694938,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,19980701,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,19980701,50-44,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,11=Price established using national RVU's,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A9528,"Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie",,,FALSE,C1314270,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/M1198,Itch severity assessment score was not reduced by at least 3 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-up encounter,,,FALSE,C5849222,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J0802,"Injection, corticotropin (ani), up to 40 units",,,FALSE,C5884040,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20231001,0,O1E=Other drugs,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,20231001,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S8096,Portable peak flow meter,,,FALSE,C0812829,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8096-S8210,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1840,"Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material",,,FALSE,C0993876,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20020101,0,D1E=Other DME,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6883-L6885,Prosthetic Procedures - Upper Limb - Replacement Sockets,,,FALSE,C5228980,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8430,"Prosthetic sock, multiple ply, above knee, each",,,FALSE,C0500174,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8400-L8485,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2133,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6690,"Upper extremity addition, frame type socket, interscapular-thoracic",,,FALSE,C0500058,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9901,"Services by a journal-listed christian science nurse, per hour",,,FALSE,C3871405,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9900-S9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,I=Not payable by Medicare,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A9292,"Prescription digital visual therapy, software-only, fda cleared, per course of treatment",,,FALSE,C5883955,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20231001,0,Z2=Undefined codes,C=Carrier judgment,20231001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,99=Value not established,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/E0243,"Toilet rail, each",,,FALSE,C0498407,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0240-E0248,N=No maintenance for this code,19960101,0,D1E=Other DME,M=Non-covered by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2100.1,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8605,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies",,,FALSE,C3534670,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8603-L8607,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2088,"Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; each additional 30 minutes beyond the first 120 minutes (list separately in addition to code for primary procedure)",,,FALSE,C5229077,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,M5D=Specialist - other,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/K0037,"High mount flip-up footrest, each",,,FALSE,C4746424,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20181001,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,http://purl.bioontology.org/ontology/HCPCS/E0970,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0483,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed",,,FALSE,C4067431,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0480-G0483,N=No maintenance for this code,20170101,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,20160101,,340=Toxicology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/J0133,"Injection, acyclovir, 5 mg",,,FALSE,C1314492,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20060101,0,O1E=Other drugs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S5523,"Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included)",,,FALSE,C0994161,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5497-S5523,N=No maintenance for this code,20060701,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9153,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine",,,FALSE,C4542687,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20190101,0,O1D=Chemotherapy,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4931,"Oral thermometer, reusable, any type, each",,,FALSE,C1144955,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),C=Carrier judgment,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G4033,Skilled nursing facility mips specialty set,,,FALSE,C5574536,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5694,"Addition to lower extremity, above knee, pelvic control belt, padded and lined",,,FALSE,C0499926,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A9000-A9999,"Administrative, Miscellaneous and Investigational",,,FALSE,C4542550,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20A0000-A9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J9292,"Injection, pemetrexed (avyxa), not therapeutically equivalent to j9305, 10 mg",,,FALSE,C5974292,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9293,"Injection, glucarpidase, 10 units",,,FALSE,C3534817,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20240101,0,O1E=Other drugs,D=Special coverage instructions apply,20121001,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9064,"Oncology; disease status; limited to non-small cell lung cancer; extent of disease initially established as stage ii (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1616321,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S2152,"Solid organ(s), complete or segmental, single organ or combination of organs; deceased or living donor(s), procurement, transplantation, and related complications; including: drugs; supplies; hospitalization with outpatient follow-up; medical/surgical, diagnostic, emergency, and rehabilitative services, and the number of days of pre- and post-transplant care in the global definition",,,FALSE,C1509092,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20040401,0,Z2=Undefined codes,I=Not payable by Medicare,20040401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1312,Patient not screened for tobacco use,,,FALSE,C5849198,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/K0608,"Replacement garment for use with automated external defibrillator, each",,,FALSE,C1314441,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0606-K0609,N=No maintenance for this code,20030701,0,D1E=Other DME,C=Carrier judgment,20030701,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9439,"Vbac (vaginal birth after cesarean) classes, non-physician provider, per session",,,FALSE,C1145344,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4040,"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass",,,FALSE,C0994035,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5724,"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control",,,FALSE,C0499946,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5710-L5780,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A7045,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only",,,FALSE,C1508783,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20050101,0,D1E=Other DME,D=Special coverage instructions apply,20050101,60-17,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C2638,"Brachytherapy source, stranded, iodine-125, per source",,,FALSE,C1971548,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2634-C2699,N=No maintenance for this code,20070701,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20070701,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(t)(2),6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/J1205,"Injection, chlorothiazide sodium, per 500 mg",,,FALSE,C0498845,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6537,"Gradient compression stocking, full length/chap style, 30-40 mmhg, each",,,FALSE,C0500158,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5826,"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame",,,FALSE,C0520225,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19980101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2704,"Injection, propofol, 10 mg",,,FALSE,C3871373,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20150101,0,O1E=Other drugs,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2623-V2629,Prosthetic Eye,,,FALSE,C0015417,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20V0000-V2999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2802,"Injection, romiplostim, 1 microgram",,,FALSE,C5974265,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1442,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram",,,FALSE,C4067600,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,D=Special coverage instructions apply,20140101,,,A=Not applicable as HCPCS priced under one methodology,,20140101,,YY,51=Drugs,"0187=PUB. 100-4, CHAPTER 17.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1377,Recommended follow-up interval for repeat colonoscopy of 10 years documented in colonoscopy report and communicated with patient,,,FALSE,C5974325,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S0272,"Physician management of patient home care, episodic care monthly case rate (per 30 days)",,,FALSE,C1971375,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20070401,0,Z2=Undefined codes,I=Not payable by Medicare,20070401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0641-L0642,Lumbar Orthotics,,,FALSE,C0492096,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L0100-L4999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5710,"Addition, exoskeletal knee-shin system, single axis, manual lock",,,FALSE,C0499939,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5710-L5780,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T4544,"Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each",,,FALSE,C3710576,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20140101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20140101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0575,"Nebulizer, ultrasonic, large volume",,,FALSE,C0181946,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0550-E0585,N=No maintenance for this code,20180101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0620,"Injection, calcium glycerophosphate and calcium lactate, per 10 ml",,,FALSE,C0498786,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1750,"Catheter, hemodialysis/peritoneal, long-term",,,FALSE,C0993744,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20010401,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9882,"Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 13-15 under the mdpp expanded model (em). an ongoing maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 13 through 24 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary maintained at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at an ongoing maintenance session in months 13-15",,,FALSE,C4746395,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180401,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20180401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S5036,"Home infusion therapy, repair of infusion device (e.g., pump repair)",,,FALSE,C0994151,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6574,"Gradient compression arm sleeve and glove combination, custom, each",,,FALSE,C5849223,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1168,Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period,,,FALSE,C5703341,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C1897,"Lead, neurostimulator test kit (implantable)",,,FALSE,C0993796,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0872,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg",,,FALSE,C5974235,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,20240701,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q0092,Set-up portable x-ray equipment,,,FALSE,C0500266,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0092-Q0092,N=No maintenance for this code,19960101,0,I1F=Standard imaging - other,D=Special coverage instructions apply,19930101,,,A=Not applicable as HCPCS priced under one methodology,2070.4,,,,11=Price established using national RVU's,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4305,"Disposable drug delivery system, flow rate of 50 ml or greater per hour",,,FALSE,C0497809,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4305-A4306,N=No maintenance for this code,20060101,0,D1A=Medical/surgical supplies,C=Carrier judgment,19930101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0219,"Injection, avalglucosidase alfa-ngpt, 4 mg",,,FALSE,C5574446,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20220401,0,O1E=Other drugs,C=Carrier judgment,20220401,,,A=Not applicable as HCPCS priced under one methodology,,20220401,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C7548,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",,,FALSE,C5771561,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P5E=Ambulatory procedures - other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4722,"Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis",,,FALSE,C0993691,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S8427,"Gradient pressure aid (glove), ready made",,,FALSE,C0994187,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4470,Gravlee jet washer,,,FALSE,C0497858,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20010101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19860101,50-4,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2320,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E3000-E3200,Speech Volume System,,,FALSE,C5974067,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S2350,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace",,,FALSE,C0812820,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S0800,Laser in situ keratomileusis (lasik),,,FALSE,C0752094,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4624,"Tracheal suction catheter, any type other than closed system, each",,,FALSE,C0497883,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4611-A4629,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,19900101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9063,"Injection, mirvetuximab soravtansine-gynx, 1 mg",,,FALSE,C5848456,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20230701,0,O1D=Chemotherapy,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20230701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4136,"Ez-derm, per square centimeter",,,FALSE,C3534662,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20130101,0,O1E=Other drugs,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L2627,"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables",,,FALSE,C0499615,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2570-L2680,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2216,Take-home supply of injectable naloxone (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure,,,FALSE,C5439728,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,9=Other medical items or services|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4331,"Axolotl graft, per square centimeter",,,FALSE,C5974408,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9912,Hepatitis b virus (hbv) status assessed and results interpreted prior to initiating anti-tnf (tumor necrosis factor) therapy,,,FALSE,C4542743,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V2112,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens",,,FALSE,C0500327,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2100-V2199,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/T4538,"Diaper service, reusable diaper, each diaper",,,FALSE,C1509120,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20050101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9089,"Bupivacaine, collagen-matrix implant, 1 mg",,,FALSE,C5574450,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20220101,0,O1E=Other drugs,D=Special coverage instructions apply,20220101,,,A=Not applicable as HCPCS priced under one methodology,,20220101,,YY,53=Statute,,1833(t),F=Ambulatory surgical center (facility usage for surgical services)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1372,Immersion external heater for nebulizer,,,FALSE,C0498631,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1352-E1406,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-4,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0501,"Resource-intensive services for patients for whom the use of specialized mobility-assistive technology (such as adjustable height chairs or tables, patient lift, and adjustable padded leg supports) is medically necessary and used during the provision of an office/outpatient, evaluation and management visit (list separately in addition to primary service)",,,FALSE,C4316268,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0501-G0501,N=No maintenance for this code,20170101,0,M5D=Specialist - other,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/H2028,"Sexual offender treatment service, per 15 minutes",,,FALSE,C1314401,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/T4534,"Youth sized disposable incontinence product, protective underwear/pull-on, each",,,FALSE,C1509116,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20050101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7207,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u.",,,FALSE,C4316097,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20170101,0,O1E=Other drugs,D=Special coverage instructions apply,20170101,,,A=Not applicable as HCPCS priced under one methodology,,20170101,,YY,51=Drugs,"0127=PUBLICATION 100.2, CHAPTER 15, 50.1.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4035,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster",,,FALSE,C0994030,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6456,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",,,FALSE,C1314258,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6413-A6461,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H2034,"Alcohol and/or drug abuse halfway house services, per diem",,,FALSE,C1314407,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0193,Powered air flotation bed (low air loss therapy),,,FALSE,C0498389,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0181-E0199,N=No maintenance for this code,19930101,0,D1E=Other DME,C=Carrier judgment,19900101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7511,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg",,,FALSE,C0993955,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20020101,0,O1E=Other drugs,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,G=Immunosuppressive drugs|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9541,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries",,,FALSE,C1617311,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/S0106,"Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 tablets",,,FALSE,C1145302,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/STY/T042,Organ or Tissue Function,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T039,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T047,Disease or Syndrome,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T046,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T046,Pathologic Function,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T038,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T040,Organism Function,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T039,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T048,Mental or Behavioral Dysfunction,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T047,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T041,Mental Process,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T040,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T045,Genetic Function,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T044,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T049,Cell or Molecular Dysfunction,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T046,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T044,Molecular Function,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T039,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T043,Cell Function,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T039,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/HCPCS/C7557,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed and intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention",,,FALSE,C5883966,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20240101,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,20240101,,YY,99=Value not established,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/H0029,"Alcohol and/or drug prevention alternatives service (services for populations that exclude alcohol and other drug use e.g., alcohol free social events)",,,FALSE,C0919065,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1164,Patients with dementia any time during the patient's history through the end of the measurement period,,,FALSE,C5771675,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S2266,"Induced abortion, 29 to 31 weeks",,,FALSE,C1314522,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20070101,0,Z2=Undefined codes,I=Not payable by Medicare,20021001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1162,"Patient had encephalitis due to the tetanus, diphtheria or pertussis vaccine any time on or before the patient's 13th birthday",,,FALSE,C5771673,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A9526,"Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries",,,FALSE,C1314269,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/G9888,Maintenance 5% wl from baseline weight in months 7-12,,,FALSE,C5884016,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20240101,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4282,"Cygnus dual, per square centimeter",,,FALSE,C5884250,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/C7501,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, all lesions unilateral and bilateral (for single lesion biopsy, use appropriate code)",,,FALSE,C5771516,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P1A=Major procedure - breast,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/S9025,Omnicardiogram/cardiointegram,,,FALSE,C0919216,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G9062,Oncology; practice guidelines; management differs from guidelines for other reason(s) not listed (for use in a medicare-approved demonstration project),,,FALSE,C1617339,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9609,Documentation of an order for anti-platelet agents,,,FALSE,C4067531,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J2792,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu",,,FALSE,C0694959,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19990101,0,O1E=Other drugs,D=Special coverage instructions apply,19990101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1358,"Oxygen accessory, dc power adapter for portable concentrator, any type, replacement only, each",,,FALSE,C2368682,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1352-E1406,N=No maintenance for this code,20150101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,20090101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0197=NCD 240.2.,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7643,"Glycopyrrolate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram",,,FALSE,C0520205,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E2211,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each",,,FALSE,C1620977,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5244,"Hearing aid, digitally programmable analog, monaural, cic",,,FALSE,C0994293,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9985,"Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires at least 2 of the following 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 25 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology",,,FALSE,C4721930,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20181001,0,M1B=Office visits - established,C=Carrier judgment,20181001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0292,"Hospital bed, variable height, hi-lo, without side rails, with mattress",,,FALSE,C0498427,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,20170101,0,D1B=Hospital beds,D=Special coverage instructions apply,19910101,60-18,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0083,"Chemotherapy administration by other than infusion technique only (e.g., subcutaneous, intramuscular, push), per visit",,,FALSE,C0500261,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0083-Q0085,N=No maintenance for this code,19960101,0,O1D=Chemotherapy,C=Carrier judgment,19920101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0041=SEE MEDICARE INTERMEDIARY MANUAL SECTION 3112.4 (Q0081, Q0083, Q0084, Q0085).",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1273,Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form,,,FALSE,C5884178,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V5260,"Hearing aid, digital, binaural, ite",,,FALSE,C0994309,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0402,"Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment",,,FALSE,C1508979,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0402-G0402,N=No maintenance for this code,20090101,0,M1A=Office visits - new,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,"0153=PURSUANT TO SECTION 101 (B) OF THE MEDICARE IMPROVEMENT FOR PATIENTS AND PROVIDERS ACT OF 2008 (MIPPA) EFFECTIVE JANUARY 1, 2009, WE EXPANDED COVERAGE FOR THE WELCOME TO MEDICARE BENEFIT; IT IS SUBJECT TO CERTAIN ELIGIBILITY AND OTHER LIMITATIONS THAT ALLOW PAYMENT FOR AN INITIAL PREVENTIVE PHYSICAL EXAMINATION (IPPE), NOT LATER THAN 12 MONTHS AFTER THE DATE THE INDIVIDUAL'S FIRST COVERAGE PERIOD BEGINS UNDER MEDICARE PART B.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A5504,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe",,,FALSE,C0520236,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5500-A5514,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2134,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,J=Diabetic shoes (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",,,FALSE,C2368488,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20090101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1700-L1755,Legg Perthes,,,FALSE,C0813024,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1600-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0140,"Walker, with trunk support, adjustable or fixed height, any type",,,FALSE,C1314291,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0130-E0155,N=No maintenance for this code,20160701,0,D1E=Other DME,D=Special coverage instructions apply,20040101,60-9,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2176,"Outpatient, ed, or observation visits that result in an inpatient admission",,,FALSE,C5439690,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0117,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist,,,FALSE,C0993881,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0117-G0124,N=No maintenance for this code,20031001,0,T2D=Other tests - other,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4317,"Vitograft, per square centimeter",,,FALSE,C5974394,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9807,Patients who did not receive cervical cytology or an hpv test,,,FALSE,C4316148,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/E0935,Continuous passive motion exercise device for use on knee only,,,FALSE,C0498527,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,20060101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,31=Frequently serviced DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4216,"Artacent cord, per square centimeter",,,FALSE,C5229207,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E0481,Intrapulmonary percussive ventilation system and related accessories,,,FALSE,C0993857,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20020701,0,D1E=Other DME,M=Non-covered by Medicare,20020101,60-21,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1843,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710507,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19980101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6665,"Upper extremity addition, teflon, or equal, cable lining",,,FALSE,C0500046,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9900,"Services by a journal-listed christian science practitioner for the purpose of healing, per diem",,,FALSE,C1314609,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9900-S9999,N=No maintenance for this code,20120101,0,Z2=Undefined codes,I=Not payable by Medicare,20020701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J3240,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial",,,FALSE,C0499008,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20030101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6247,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing",,,FALSE,C0520056,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6586,"Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed",,,FALSE,C0500022,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6580-L6590,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4300,"Acesso tl, per square centimeter",,,FALSE,C5884267,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/S2409,"Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified",,,FALSE,C0994119,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2630,"Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support",,,FALSE,C3248410,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2626-E2633,N=No maintenance for this code,20120101,0,D1D=Wheelchairs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9578,"Injection, gadobenate dimeglumine (multihance multipack), per ml",,,FALSE,C1971408,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20080101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J7345,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg",,,FALSE,C4542794,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7330-J7402,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,20180101,,,A=Not applicable as HCPCS priced under one methodology,,20180101,,YY,51=Drugs,0213=42 CFR SEC 424.5(a)(6).,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4353,"Xceed tl matrix, per square centimeter",,,FALSE,C5974430,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/S4037,"Cryopreserved embryo transfer, case rate",,,FALSE,C1145325,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C7524,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress",,,FALSE,C5771538,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P2F=Major procedure - cardiovascular - Other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A6242,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",,,FALSE,C0520051,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0496,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only",,,FALSE,C1617361,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4641-A4642,Supplies for Radiologic Procedures,,,FALSE,C0812884,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A2005,"Microlyte matrix, per square centimeter",,,FALSE,C5574424,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20220101,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20220101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1261,Patients that were on the kidney or kidney-pancreas waitlist prior to initiation of dialysis,,,FALSE,C5884166,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",,,FALSE,C0812703,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1352-E1406,N=No maintenance for this code,20040101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,20000101,60-4,,A=Not applicable as HCPCS priced under one methodology,,,,,33=Oxygen and oxygen equipment (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7700-L7700,Prosthetic Procedures - Prosthetic Socket Insert,,,FALSE,C4542640,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L7700-L8499,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0499-G0499,Hepatitis B Screening,,,FALSE,C1278302,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/H2033,"Multisystemic therapy for juveniles, per 15 minutes",,,FALSE,C1314406,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9355,Elective delivery (without medical indication) by cesarean birth or induction of labor not performed (<39 weeks of gestation),,,FALSE,C3710445,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A0160,Non-emergency transportation: per mile - case worker or social worker,,,FALSE,C0497721,http://purl.bioontology.org/ontology/STY/T057,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,19950101,0,O1A=Ambulance,I=Not payable by Medicare,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T057
http://purl.bioontology.org/ontology/HCPCS/E0960,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware",,,FALSE,C1314309,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8693,"Auditory osseointegrated device abutment, any length, replacement only",,,FALSE,C2959292,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8690-L9900,N=No maintenance for this code,20110101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4750,"Blood tubing, arterial or venous, for hemodialysis, each",,,FALSE,C0497909,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2215,"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each",,,FALSE,C1617319,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G6010,"Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 20 mev or greater",,,FALSE,C0373374,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G6003-G6017,N=No maintenance for this code,20150101,0,P7A=Oncology - radiation therapy,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",,,FALSE,C0520206,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4345,"Matrix hd allograft dermis, per square centimeter",,,FALSE,C5974422,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20241001,0,O1E=Other drugs,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L4205,"Repair of orthotic device, labor component, per 15 minutes",,,FALSE,C0499814,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4000-L4210,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2100.4,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V5254,"Hearing aid, digital, monaural, cic",,,FALSE,C0994303,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6412,"Eye patch, occlusive, each",,,FALSE,C1144960,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20070101,0,Z2=Undefined codes,C=Carrier judgment,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9227,"Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the encounter",,,FALSE,C3710331,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9541,Filter removed within 3 months of placement,,,FALSE,C4067490,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0245,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education",,,FALSE,C1145120,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20020701,0,M1A=Office visits - new,D=Special coverage instructions apply,20020701,50.81,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q5151,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg",,,FALSE,C5979775,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9285,"Lidocaine 70 mg/tetracaine 70 mg, per patch",,,FALSE,C3248395,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20140101,0,O1E=Other drugs,D=Special coverage instructions apply,20110701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,"0093=""C"" CODES ARE UNIQUE TEMPORARY PRICING CODES THAT WERE INITIALLY ESTABLISHED BY CMS FOR THE HOSPITAL OUTPATIENT PROSPECTIVE PAYMENT SYSTEM (OPPS). THE ""C"" CODES ARE USED ON MEDICARE OPPS CLAIMS BUT MAY ALSO BE RECOGNIZED ON CLAIMS FROM OTHER PROVIDERS OR BY OTHER PAYMENT SYSTEMS.",1833(t),1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J3250,"Injection, trimethobenzamide hcl, up to 200 mg",,,FALSE,C0499009,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L8035,"Custom breast prosthesis, post mastectomy, molded to patient model",,,FALSE,C0694981,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8000-L8039,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19990101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0172,"Chlorambucil, oral, 2 mg",,,FALSE,C0994056,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/B4172,"Parenteral nutrition solution; amino acid, 5.5% through 7%, (500 ml = 1 unit) - home mix",,,FALSE,C0497988,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4164-B5200,N=No maintenance for this code,20020101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19840101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/L3702,"Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",,,FALSE,C1616845,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3702-L3766,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9150,National committee for quality assurance - level 3 medical home,,,FALSE,C3534710,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9148-G9153,N=No maintenance for this code,20110701,0,Z2=Undefined codes,C=Carrier judgment,20110701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4575,"Topical hyperbaric oxygen chamber, disposable",,,FALSE,C0497868,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20171001,0,D1A=Medical/surgical supplies,C=Carrier judgment,19960101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0170=SEE NCD 20.29.,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6403,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing",,,FALSE,C0520076,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9084,"Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t1-3, n0, m0 with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1618367,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2530,"Addition to lower extremity, thigh-weight bearing, lacer, non-molded",,,FALSE,C0499605,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2500-L2550,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S2118,"Metal-on-metal total hip resurfacing, including acetabular and femoral components",,,FALSE,C2368511,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20081001,0,Z2=Undefined codes,I=Not payable by Medicare,20081001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S3861,"Genetic testing, sodium channel, voltage-gated, type v, alpha subunit (scn5a) and variants for suspected brugada syndrome",,,FALSE,C2368516,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S3800-S3870,N=No maintenance for this code,20081001,0,Z2=Undefined codes,I=Not payable by Medicare,20081001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/J9047,"Injection, carfilzomib, 1 mg",,,FALSE,C3534815,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20140101,0,O1D=Chemotherapy,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,20140101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J3399,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10^15 vector genomes",,,FALSE,C5439744,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6584,"Gradient compression wrap with adjustable straps, not otherwise specified",,,FALSE,C5883925,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0426,"Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth",,,FALSE,C2729184,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0425-G0427,N=No maintenance for this code,20120101,0,M6=Consultations,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,3=Consultation,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4352,"Overlay sl matrix, per square centimeter",,,FALSE,C5974429,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/C1736,"Catheter(s), intravascular for renal denervation, ultrasound, including all single use system components",,,FALSE,C5974094,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20250101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9733,Non-ophthalmic fluorescent vascular angiography,,,FALSE,C3534804,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20120401,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20120401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/L5580,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model",,,FALSE,C0499859,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5510-L5600,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1451,"Injection, fomepizole, 15 mg",,,FALSE,C0919133,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20060101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,0095=AS REQUIRED BY BBRA SECTION 201.,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C2622,"Prosthesis, penile, non-inflatable",,,FALSE,C0993811,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2617-C2631,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/NR,New when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased),,,FALSE,C0497651,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19840101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/N1,Group 1 oxygen coverage criteria met,,,FALSE,C5852384,http://purl.bioontology.org/ontology/STY/T185,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20230101,,,C=Carrier judgment,20230101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T185
http://purl.bioontology.org/ontology/HCPCS/N2,Group 2 oxygen coverage criteria met,,,FALSE,C5852385,http://purl.bioontology.org/ontology/STY/T185,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20230101,,,C=Carrier judgment,20230101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T185
http://purl.bioontology.org/ontology/HCPCS/N3,Group 3 oxygen coverage criteria met,,,FALSE,C5852386,http://purl.bioontology.org/ontology/STY/T185,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20230101,,,C=Carrier judgment,20230101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T185
http://purl.bioontology.org/ontology/HCPCS/NB,"Nebulizer system, any type, fda-cleared for use with specific drug",,,FALSE,C2959342,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20110101,,,C=Carrier judgment,20110101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/NU,New equipment,,,FALSE,C0497652,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19840101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5940,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)",,,FALSE,C0499972,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0699,"Injection, cefiderocol, 10 mg",,,FALSE,C5574553,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20211001,0,O1E=Other drugs,C=Carrier judgment,20211001,,,A=Not applicable as HCPCS priced under one methodology,,20211001,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A0380,Bls mileage (per mile),,,FALSE,C0497757,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20030101,0,O1A=Ambulance,I=Not payable by Medicare,19950101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),A0425,,http://purl.bioontology.org/ontology/HCPCS/A0425,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/Q4276,"Orion, per square centimeter",,,FALSE,C5884244,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A4629,Tracheostomy care kit for established tracheostomy,,,FALSE,C0520174,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4611-A4629,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19960101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1785,"Pacemaker, dual chamber, rate-responsive (implantable)",,,FALSE,C0993770,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4043,"Cast supplies, long leg splint, pediatric (0-10 years), plaster",,,FALSE,C0994038,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9283,Non small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanation,,,FALSE,C3685090,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3202,"Orthopedic shoe, oxford with supinator or pronator, child",,,FALSE,C0499656,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2374,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only",,,FALSE,C1742206,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0740,"Injection, cidofovir, 375 mg",,,FALSE,C0520139,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19980101,0,O1E=Other drugs,D=Special coverage instructions apply,19980101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2101,Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period,,,FALSE,C5203722,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G8937,"Clinician did not prescribe angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy, reason not given",,,FALSE,C3534773,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J1445,"Injection, ferric pyrophosphate citrate solution (triferic avnu), 0.1 mg of iron",,,FALSE,C5574555,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20211001,0,O1E=Other drugs,C=Carrier judgment,20211001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/P9615,Catheterization for collection of specimen(s) (multiple patients),,,FALSE,C0500255,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9612-P9615,N=No maintenance for this code,20140101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,51141D,,,,57=Other carrier priced|21=Price subject to national limitation amount,"0040=SEE MEDICARE INTERMEDIARY MANUAL 3628.E FOR PAYMENT GUIDELINES (P9610, P9615, G0001).",,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4104,"Integra bilayer matrix wound dressing (bmwd), per square centimeter",,,FALSE,C2959306,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/C8911,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)",,,FALSE,C0993830,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8900-C8920,N=No maintenance for this code,20011001,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20011001,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/H2023,"Supported employment, per 15 minutes",,,FALSE,C1314396,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L4020,"Replace quadrilateral socket brim, molded to patient model",,,FALSE,C0499800,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4000-L4210,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6100-L6130,Prosthetic Procedures - Below Elbow,,,FALSE,C0813088,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0737,"Transcutaneous tibial nerve stimulator, controlled by phone application",,,FALSE,C5974129,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20241001,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20241001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9021,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg",,,FALSE,C5574565,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20220101,0,O1D=Chemotherapy,C=Carrier judgment,20220101,,,A=Not applicable as HCPCS priced under one methodology,,20220101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0129,"Occupational therapy services requiring the skills of a qualified occupational therapist, furnished as a component of a partial hospitalization or intensive outpatient treatment program, per session (45 minutes or more)",,,FALSE,C0812711,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20240101,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20000401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0087=SERVICES REPRESENTED BY G0129 IS DEFINED IN SSA 1861(ff)(2)(B) BBA 1997 SECTION 4523 (d)(3) AMENDS SSA 1833(a)(2).,,U=Occupational therapy,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A9559,"Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie",,,FALSE,C1616295,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/L6450,"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping",,,FALSE,C0500015,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6400-L6570,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2371,"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each",,,FALSE,C1620979,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1315,Colorectal cancer screening results were not documented and reviewed; reason not otherwise specified,,,FALSE,C5884181,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L8686,"Implantable neurostimulator pulse generator, single array, non-rechargeable, includes extension",,,FALSE,C1621017,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8678-L8689,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q9959,"High osmolar contrast material, 150-199 mg/ml iodine concentration, per ml",,,FALSE,C1619410,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9950-Q9969,N=No maintenance for this code,20050701,0,I1E=Standard imaging - nuclear medicine,D=Special coverage instructions apply,20050701,,,A=Not applicable as HCPCS priced under one methodology,15022,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,Additional Home Infusion Therapy,,,FALSE,C4542663,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20S0000-S9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4211,"Amnion bio or axobiomembrane, per square centimeter",,,FALSE,C5229202,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L5628,"Addition to lower extremity, test socket, hemipelvectomy",,,FALSE,C0499875,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5618-L5628,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q2050,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",,,FALSE,C3710554,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,N=No maintenance for this code,20130701,0,O1D=Chemotherapy,D=Special coverage instructions apply,20130701,,,A=Not applicable as HCPCS priced under one methodology,2049.4,20130701,,YY,51=Drugs,,,9=Other medical items or services|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E2341,"Power wheelchair accessory, nonstandard seat frame width, 24-27 inches",,,FALSE,C1314354,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",,,FALSE,C0497789,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,20050101,0,D1E=Other DME,C=Carrier judgment,19970101,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G4019,Oncology/hematology mips specialty set,,,FALSE,C5574522,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/H0047,"Alcohol and/or other drug abuse services, not otherwise specified",,,FALSE,C1145180,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6562,"Gradient compression stocking, waist length, 18-30 mmhg, custom, each",,,FALSE,C5883904,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3217,"Orthopedic footwear, ladies shoe, hightop, depth inlay, each",,,FALSE,C0499669,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,S=Non-covered by Medicare statute,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A8,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q0091,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory",,,FALSE,C0500265,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0091-Q0091,N=No maintenance for this code,19960701,0,P6C=Minor procedures - other (Medicare fee schedule),D=Special coverage instructions apply,19920101,50-20,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0130,"Injection abciximab, 10 mg",,,FALSE,C0694948,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,19990101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S9454,"Stress management classes, non-physician provider, per session",,,FALSE,C1145351,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C7533,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy",,,FALSE,C5771547,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P2D=Major procedure - cardiovascular - Coronary angioplasty (PTCA),C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",,,FALSE,C0500335,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9991,Services provided as part of a phase iii clinical trial,,,FALSE,C0812871,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9900-S9999,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A7017,"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen",,,FALSE,C0520218,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20000101,0,D1E=Other DME,D=Special coverage instructions apply,20000101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S1031,"Continuous noninvasive glucose monitoring device, rental, including sensor, sensor replacement, and download to monitor (for physician interpretation of data, use cpt code)",,,FALSE,C0994102,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1557,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg",,,FALSE,C3248645,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20120101,0,O1E=Other drugs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,20120101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2499,"Variable sphericity lens, other type",,,FALSE,C0500381,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2410-V2499,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19840101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J9274,"Injection, tebentafusp-tebn, 1 microgram",,,FALSE,C5771641,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20221001,0,O1D=Chemotherapy,C=Carrier judgment,20221001,,,A=Not applicable as HCPCS priced under one methodology,,20221001,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8958,"Assessment of adequacy of volume management not documented, reason not given",,,FALSE,C3534752,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L2230,"Addition to lower extremity, split flat caliper stirrups and plate attachment",,,FALSE,C0499571,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0681,Non-pneumatic compression controller without calibrated gradient pressure,,,FALSE,C5771653,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0678-E0683,N=No maintenance for this code,20240101,0,D1E=Other DME,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1410,Patients who did not have germline testing for brca1 and brca2 or genetic counseling completed within 6 months of diagnosis,,,FALSE,C5974357,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3981,"Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments",,,FALSE,C3871383,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3980-L3999,N=No maintenance for this code,20150101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5269,"Assistive listening device, alerting, any type",,,FALSE,C0994318,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5268-V5290,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S1040,"Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)",,,FALSE,C1314508,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20070101,0,Z2=Undefined codes,I=Not payable by Medicare,20021001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6608,"Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each",,,FALSE,C5883948,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6593-A6611,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0500,"Injection, dicyclomine hcl, up to 20 mg",,,FALSE,C0498772,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8633,Pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed,,,FALSE,C2959169,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K1001-K1028,Temporary Codes Assigned to DME Regional Carriers - Devices,,,FALSE,C5439619,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20K0000-K9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/J3372,"Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg",,,FALSE,C5771636,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,D=Special coverage instructions apply,20230101,60-14,,A=Not applicable as HCPCS priced under one methodology,2049,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2087,"Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month",,,FALSE,C5229076,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,M5D=Specialist - other,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A0430,"Ambulance service, conventional air services, transport, one way (fixed wing)",,,FALSE,C0918295,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20010101,0,O1A=Ambulance,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C8924,"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, follow-up or limited study",,,FALSE,C1971559,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8921-C8930,N=No maintenance for this code,20090101,0,I3C=Echography/ultrasonography - heart,D=Special coverage instructions apply,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/S9367,"Home infusion therapy, total parenteral nutrition (tpn); more than two liters but no more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem",,,FALSE,C0994239,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3671,"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",,,FALSE,C1618379,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3650-L3678,N=No maintenance for this code,20110101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9280,"Injection, mitomycin, 5 mg",,,FALSE,C0499149,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20130101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K0814,"Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",,,FALSE,C1742216,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4263,"Permanent, long term, non-dissolvable lacrimal duct implant, each",,,FALSE,C0497804,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,19980101,0,Y1=Other - Medicare fee schedule,D=Special coverage instructions apply,19940101,,,A=Not applicable as HCPCS priced under one methodology,15030,,,,11=Price established using national RVU's,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A0436,"Rotary wing air mileage, per statute mile",,,FALSE,C0918301,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20010101,0,O1A=Ambulance,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/A9591,"Fluoroestradiol f 18, diagnostic, 1 millicurie",,,FALSE,C5439626,http://purl.bioontology.org/ontology/STY/T109|http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20210101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T109|http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/J9263,"Injection, oxaliplatin, 0.5 mg",,,FALSE,C1314429,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20180101,0,O1D=Chemotherapy,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0053,Advancing rheumatology patient care mips value pathways,,,FALSE,C5574478,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0636,"Injection, calcitriol, 0.1 mcg",,,FALSE,C1145190,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20030101,0,O1E=Other drugs,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2425,"Injection, palifermin, 50 micrograms",,,FALSE,C1619394,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20060101,0,O1E=Other drugs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E2104,Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge,,,FALSE,C5974147,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1902-E2120,N=No maintenance for this code,20240401,0,D1E=Other DME,D=Special coverage instructions apply,20240401,60-11,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2633,"Wheelchair accessory, addition to mobile arm support, supinator",,,FALSE,C3248412,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2626-E2633,N=No maintenance for this code,20120101,0,D1D=Wheelchairs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9783,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus angiography, imaging guidance and supervision and interpretation when performed in an approved investigational device exemption (ide) study",,,FALSE,C5771577,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20220401,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20220401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0899,"Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis)",,,FALSE,C5771613,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230401,0,O1E=Other drugs,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,4273.1|2049,20230101,,YY,51=Drugs,,,1=Medical care|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4378,"Ostomy pouch, drainable, for use on faceplate, rubber, each",,,FALSE,C0812606,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5590,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model",,,FALSE,C0499861,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5510-L5600,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6055,"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad",,,FALSE,C0499995,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6050-L6055,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4019,"Cast supplies, long arm splint, pediatric (0-10 years), plaster",,,FALSE,C0994014,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0276,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial",,,FALSE,C3871264,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20150101,0,P6D=Minor procedures - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20150101,,,A=Not applicable as HCPCS priced under one methodology,,20150101,,YY,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)","0193=SEE 150.13 MEDICARE NATIONAL COVERAGE DETERMINATIONS MANUAL CHAPTER 1, PART 2; ALSO CR 8757, TRANSMITTAL 167 DATED MAY 16, 2014.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9500,Radiation exposure indices documented in final report for procedure using fluoroscopy,,,FALSE,C4067451,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L5301,"Below knee, molded socket, shin, sach foot, endoskeletal system",,,FALSE,C0993974,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5301-L5341,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2214,"Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional",,,FALSE,C5439726,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,M5D=Specialist - other,C=Carrier judgment,20210101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0438-G0451,"Counselling, Wellness, and Screening Services",,,FALSE,C4542590,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L3901,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated",,,FALSE,C0499751,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3806-L3904,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19840101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9373,"Home infusion therapy, hydration therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use with hydration therapy codes s9374-s9377 using daily volume scales)",,,FALSE,C0994243,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L0130,"Cervical, flexible, thermoplastic collar, molded to patient",,,FALSE,C0499392,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0112-L0174,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19840101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J8562,"Fludarabine phosphate, oral, 10 mg",,,FALSE,C2959268,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,N=No maintenance for this code,20240101,0,O1D=Chemotherapy,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1420,Complete ophthalmologic care mips value pathway,,,FALSE,C5974367,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4167,"Truskin, per square centimeter",,,FALSE,C4316084,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G6001-G6002,Ultrasonic and Steroscopic X-ray Guidance,,,FALSE,C4542602,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/L3971,"Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment",,,FALSE,C1618381,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3960-L3973,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6256,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing",,,FALSE,C0520064,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1895,"Lead, cardioverter-defibrillator, endocardial dual coil (implantable)",,,FALSE,C0993794,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0413,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum)",,,FALSE,C2368413,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0412-G0415,N=No maintenance for this code,20090101,0,P3D=Major procedure - orthopedic - other,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)","0155=MEDICARE DOES NOT RECOGNIZE CODES 27215, 27216, 27217 AND 27218 FOR 2009.",,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A9562,"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries",,,FALSE,C1618853,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/E0550,"Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery",,,FALSE,C0498461,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0550-E0585,N=No maintenance for this code,20050701,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,33=Oxygen and oxygen equipment (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2175,"Injection, meperidine hydrochloride, per 100 mg",,,FALSE,C0498928,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S9970,"Health club membership, annual",,,FALSE,C1145357,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9900-S9999,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0490,Face-to-face home health nursing visit by a rural health clinic (rhc) or federally qualified health center (fqhc) in an area with a shortage of home health agencies; (services limited to rn or lpn only),,,FALSE,C4316278,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0490-G0490,N=No maintenance for this code,20160401,0,M4A=Home visit,C=Carrier judgment,20160401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5410,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment",,,FALSE,C0499845,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5400-L5460,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1530,"Air bubble detector for hemodialysis, each, replacement",,,FALSE,C0181175,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0480,"Injection, basiliximab, 20 mg",,,FALSE,C0919144,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20060101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,0095=AS REQUIRED BY BBRA SECTION 201.,,G=Immunosuppressive drugs|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0715,"Injection, ceftizoxime sodium, per 500 mg",,,FALSE,C0498803,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5400,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee",,,FALSE,C0499844,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5400-L5460,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1782,Morcellator,,,FALSE,C0972426,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P9010,"Blood (whole), for transfusion, per unit",,,FALSE,C0500238,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,19870101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,19870101,,,A=Not applicable as HCPCS priced under one methodology,2455A,,,,52=Reasonable charge,,,"0=Whole blood only eff 01/96, whole blood or packed red cells before 01/96",,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/G8418,Bmi is documented below normal parameters and a follow-up plan is documented,,,FALSE,C1971260,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20140101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L6100,"Below elbow, molded socket, flexible elbow hinge, triceps pad",,,FALSE,C0499996,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6100-L6130,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4400,Ostomy irrigation set,,,FALSE,C0181413,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,19900101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S5553,"Insulin, long acting; 5 units",,,FALSE,C1314588,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5550-S5571,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4453,"Rectal catheter with or without balloon, for use with any type transanal irrigation system, each",,,FALSE,C5574432,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,C=Change in long description of procedure or modifier code,20250401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20211001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1336,Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 2 weeks,,,FALSE,C5884199,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1374,An additional encounter with an ra diagnosis during the performance period or prior performance period that is at least 90 days before or after an encounter with an ra diagnosis during the performance period,,,FALSE,C5974322,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,,,FALSE,C1618902,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0510-Q0514,N=No maintenance for this code,20060101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",0129=MMA section 303(e).,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/M1304,Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period,,,FALSE,C5877484,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9563,"Home injectable therapy, immunotherapy, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C5884278,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9490-S9810,N=No maintenance for this code,20230401,0,Z2=Undefined codes,I=Not payable by Medicare,20230401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2372,"Power wheelchair accessory, group 27 non-sealed lead acid battery, each",,,FALSE,C1618860,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9963,Embolization endpoints are not documented separately for each embolized vessel or ovarian artery angiography or embolization not performed in the presence of variant uterine artery anatomy,,,FALSE,C4542781,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A9593,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie",,,FALSE,C5574433,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20210701,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/C9507,"Plasma, high titer covid-19 convalescent, each unit",,,FALSE,C5703063,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20211228,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20211228,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4376,"Ostomy pouch, drainable, with faceplate attached, rubber, each",,,FALSE,C0812604,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H0050,"Alcohol and/or drug services, brief intervention, per 15 minutes",,,FALSE,C1742210,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20070101,0,Z2=Undefined codes,I=Not payable by Medicare,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9687,Hospice services provided to patient any time during the measurement period,,,FALSE,C5551263,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A9581,"Injection, gadoxetate disodium, 1 ml",,,FALSE,C2729454,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20100101,0,I2D=Advanced imaging - MRI/MRA: other,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,Prosthetic Procedures - Lower Limb,,,FALSE,C0813061,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L5000-L9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1789,"Prosthesis, breast (implantable)",,,FALSE,C0993774,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7640,"Formoterol, inhalation solution, compounded product, administered through dme, unit dose form, 12 micrograms",,,FALSE,C1617351,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2122,"Depression, anxiety, apathy, and psychosis not assessed",,,FALSE,C5229092,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0034,Patients receiving palliative care during the measurement period,,,FALSE,C5552820,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,Q Codes - Temporary Codes Assigned by CMS,,,FALSE,C0813127,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/MTHU000323,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/G9409,Patients without cardiac tamponade and/or pericardiocentesis occurring within 30 days,,,FALSE,C3871317,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J2300,"Injection, nalbuphine hydrochloride, per 10 mg",,,FALSE,C0498937,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19960101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0463,Hospital outpatient clinic visit for assessment and management of a patient,,,FALSE,C3710289,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0452-G0465,N=No maintenance for this code,20140101,0,M1B=Office visits - established,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6646,"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system",,,FALSE,C1145289,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J3570,"Laetrile, amygdalin, vitamin b17",,,FALSE,C0499042,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19960101,0,O1E=Other drugs,M=Non-covered by Medicare,19860101,45-10,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4132,"Grafix core and grafixpl core, per square centimeter",,,FALSE,C3534666,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9895,"Documentation of medical reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate (e.g., salvage therapy)",,,FALSE,C4542730,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9110,"Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month",,,FALSE,C3534654,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20130101,0,Z2=Undefined codes,I=Not payable by Medicare,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2068,"Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)",,,FALSE,C5229059,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,M5D=Specialist - other,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9202,"Goserelin acetate implant, per 3.6 mg",,,FALSE,C0499132,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,19970101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19910101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0321,Home health services furnished using synchronous telemedicine rendered via telephone or other real-time interactive audio-only telecommunications system,,,FALSE,C5771590,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G2212,"Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes)",,,FALSE,C5439724,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20230101,0,M5D=Specialist - other,C=Carrier judgment,20210101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K0859,"Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds",,,FALSE,C1741413,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8625,"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each",,,FALSE,C4542800,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8608-L8629,N=No maintenance for this code,20180101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20180101,65-14,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0295,"Electromagnetic therapy, to one or more areas, for wound care other than described in g0329 or for other uses",,,FALSE,C1145163,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20040701,0,I2B=Advanced imaging - CAT/CT/CTA: other,M=Non-covered by Medicare,20030401,35-98,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care|W=Physical therapy|U=Occupational therapy,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1016,"Shock absorber for power wheelchair, each",,,FALSE,C1145101,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20030101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,60.9,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1343,Patients who are at pam level 4 at baseline or patients who are flagged with extreme straight line response sets on the pam or with excessive missing responses,,,FALSE,C5884206,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q0483,"Monitor/display module for use with electric ventricular assist device, replacement only",,,FALSE,C1619404,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4680,"Activated carbon filter for hemodialysis, each",,,FALSE,C0497902,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,55-1,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0279,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",,,FALSE,C3871265,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20180101,0,I1C=Standard imaging - breast,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/S8100,Holding chamber or spacer for use with an inhaler or nebulizer; without mask,,,FALSE,C0994166,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8096-S8210,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9660,"Documentation of medical reason(s) for a colonoscopy performed on a patient greater than or equal to 86 years of age (e.g., iron deficiency anemia, lower gastrointestinal bleeding, familial history of adenomatous polyposis, lynch syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease (i.e., crohn's disease or ulcerative colitis), abnormal finding of gastrointestinal tract, weight loss, or changes in bowel habits)",,,FALSE,C5974208,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L0458,"Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment",,,FALSE,C1145256,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T2021,"Day habilitation, waiver; per 15 minutes",,,FALSE,C1314621,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E1701,"Replacement cushions for jaw motion rehabilitation system, pkg. of 6",,,FALSE,C0498670,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1700-E1702,N=No maintenance for this code,19960101,0,D1E=Other DME,C=Carrier judgment,19930101,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3630,"Transfer of an orthosis from one shoe to another, solid stirrup, new",,,FALSE,C0499725,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3600-L3649,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C9363,"Skin substitute, integra meshed bilayer wound matrix, per square centimeter",,,FALSE,C2729470,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20140101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20090701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,621MMA,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S4018,"Frozen embryo transfer procedure cancelled before transfer, case rate",,,FALSE,C0994135,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5822,"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control",,,FALSE,C0499959,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",,,FALSE,C1144988,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20060101,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2520,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted",,,FALSE,C0499602,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2500-L2550,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q2017,"Injection, teniposide, 50 mg",,,FALSE,C0919142,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,N=No maintenance for this code,20230101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20000701,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,1861S2B,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/PO,"Excepted service provided at an off-campus, outpatient, provider-based department of a hospital",,,FALSE,C3871231,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20170101,,,C=Carrier judgment,20150101,,,,,,,,,0207=BBA 2015 SEC 603.,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/PM,Post mortem,,,FALSE,C0580205,http://purl.bioontology.org/ontology/STY/T079,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20140101,,,C=Carrier judgment,20140101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T079
http://purl.bioontology.org/ontology/HCPCS/PD,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,,,FALSE,C3248686,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20120101,,,C=Carrier judgment,20120101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/PS,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,,,FALSE,C2729425,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20090701,,,C=Carrier judgment,20090701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/PL,Progressive addition lenses,,,FALSE,C0497653,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19890101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P1,A normal healthy patient,,,FALSE,C0973438,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20060101,,,C=Carrier judgment,20060101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/P3,A patient with severe systemic disease,,,FALSE,C0973444,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20060101,,,C=Carrier judgment,20060101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/PB,Surgical or other invasive procedure on wrong patient,,,FALSE,C2729422,http://purl.bioontology.org/ontology/STY/T046,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20090701,,,I=Not payable by Medicare,20090701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T046
http://purl.bioontology.org/ontology/HCPCS/PI,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,,,FALSE,C2729424,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20090701,,,C=Carrier judgment,20090701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/P6,A declared brain-dead patient whose organs are being removed for donor purposes,,,FALSE,C0973442,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20060101,,,C=Carrier judgment,20060101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/P4,A patient with severe systemic disease that is a constant threat to life,,,FALSE,C0973440,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20060101,,,C=Carrier judgment,20060101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/P2,A patient with mild systemic disease,,,FALSE,C0973439,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20060101,,,C=Carrier judgment,20060101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/P5,A moribund patient who is not expected to survive without the operation,,,FALSE,C0973441,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20060101,,,C=Carrier judgment,20060101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/PC,Wrong surgery or other invasive procedure on patient,,,FALSE,C2729423,http://purl.bioontology.org/ontology/STY/T046,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20090701,,,I=Not payable by Medicare,20090701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T046
http://purl.bioontology.org/ontology/HCPCS/PN,"Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital",,,FALSE,C4316293,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20170101,,,C=Carrier judgment,20170101,,,,,,,,,0207=BBA 2015 SEC 603.,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/PA,Surgical or other invasive procedure on wrong body part,,,FALSE,C2729421,http://purl.bioontology.org/ontology/STY/T046,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20090701,,,I=Not payable by Medicare,20090701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T046
http://purl.bioontology.org/ontology/HCPCS/PT,Colorectal cancer screening test; converted to diagnostic test or other procedure,,,FALSE,C2959343,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20110101,,,C=Carrier judgment,20110101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G9819,Patients who use hospice services any time during the measurement period,,,FALSE,C4283832,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J0889,"Daprodustat, oral, 1 mg, (for esrd on dialysis)",,,FALSE,C5884043,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20231001,0,O1E=Other drugs,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q9983,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries",,,FALSE,C4067413,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9982-Q9999,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,D=Special coverage instructions apply,20160701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,20250101,,YY,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0189=IOM 100-3, CH 4, NCD 220.6.20.",,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9350,"Injection, mosunetuzumab-axgb, 1 mg",,,FALSE,C5884109,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20230701,0,O1D=Chemotherapy,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20230701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9477,"Services performed by care coordinator in the hospice setting, each 15 minutes",,,FALSE,C4067443,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,M5D=Specialist - other,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J2725,"Injection, protirelin, per 250 mcg",,,FALSE,C0498976,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20140101,0,O1E=Other drugs,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6582,"Gradient compression gauntlet, each",,,FALSE,C5883923,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9751,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, computer-assisted, image-guided navigation, and endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling (e.g., aspiration[s]/biopsy[ies]) and all mediastinal and/or hilar lymph node stations or structures and therapeutic intervention(s)",,,FALSE,C4746297,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20190101,0,P8F=Endoscopy - bronchoscopy,D=Special coverage instructions apply,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/J3310,"Injection, perphenazine, up to 5 mg",,,FALSE,C0499018,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20140101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5986,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal)",,,FALSE,C0499989,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9986,Not medically necessary service (patient is aware that service not medically necessary),,,FALSE,C0994272,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9900-S9999,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J9267,"Injection, paclitaxel, 1 mg",,,FALSE,C3854151,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20150101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0194=PUB. 100-4, CH. 15.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P2028-P2038,Chemistry and Toxicology Tests,,,FALSE,C0813124,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20P0000-P9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/J1240,"Injection, dimenhydrinate, up to 50 mg",,,FALSE,C0498848,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9478,"Services performed by other qualified therapist in the hospice setting, each 15 minutes",,,FALSE,C4067444,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,M5D=Specialist - other,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G8918,Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis,,,FALSE,C3534783,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120401,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S5498,"Home infusion therapy, catheter care / maintenance, simple (single lumen), includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem",,,FALSE,C0994153,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5497-S5523,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L1070,"Addition to ctlso or scoliosis orthosis, trapezius sling",,,FALSE,C0499462,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1000-L1120,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2797,"Vision supply, accessory and/or service component of another hcpcs vision code",,,FALSE,C1314662,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V2525,"Contact lens, hydrophilic, dual focus, per lens",,,FALSE,C5771730,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2500-V2599,N=No maintenance for this code,20221001,0,Z2=Undefined codes,M=Non-covered by Medicare,20220401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0227=CHAPTER 15, SECTION 120 OF THE MEDICARE BENEFIT POLICY MANUAL.",,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L8678,"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month",,,FALSE,C5884114,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8678-L8689,N=No maintenance for this code,20230401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1834,"Knee orthosis, without knee joint, rigid, custom fabricated",,,FALSE,C0499507,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5681,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)",,,FALSE,C1314470,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L8330,"Truss, addition to standard pad, scrotal pad",,,FALSE,C0500168,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8300-L8330,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,70-1|70-2,,A=Not applicable as HCPCS priced under one methodology,2133,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H1010,"Non-medical family planning education, per session",,,FALSE,C1145182,http://purl.bioontology.org/ontology/STY/T065,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T065
http://purl.bioontology.org/ontology/HCPCS/Q4296,"Rebound matrix, per square centimeter",,,FALSE,C5884264,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710532,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3730,"Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated",,,FALSE,C0499734,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3702-L3766,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1570,"Adjustable chair, for esrd patients",,,FALSE,C0498656,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S4027,Storage of previously frozen embryos,,,FALSE,C0994141,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9309,No unplanned hospital readmission within 30 days of principal procedure,,,FALSE,C3710410,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1345,Patients who had a baseline pam score and a second score within 4 to 12 month of baseline pam score,,,FALSE,C5974314,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q0481,"Microprocessor control unit for use with electric ventricular assist device, replacement only",,,FALSE,C1616850,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0353,"Treatment planning and care coordination management for cancer, initial treatment",,,FALSE,C3534660,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20120401,0,Z2=Undefined codes,I=Not payable by Medicare,20120401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9368,"Home infusion therapy, total parenteral nutrition (tpn); more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem",,,FALSE,C0994240,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1110,"Injection, dihydroergotamine mesylate, per 1 mg",,,FALSE,C0498836,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6213,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing",,,FALSE,C0520037,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,Oxygen and Related Respiratory Equipment,,,FALSE,C0812956,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2615,"Telescopic and other compound lens system, including distance vision telescopic, near vision telescopes and compound microscopic lens system",,,FALSE,C0500399,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2600-V2615,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/P9612,"Catheterization for collection of specimen, single patient, all places of service",,,FALSE,C0694983,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9612-P9615,N=No maintenance for this code,20140101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,19990101,,,A=Not applicable as HCPCS priced under one methodology,5114.1D,,,,57=Other carrier priced|21=Price subject to national limitation amount,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1220-E1228,Wheelchair: Other and Accessories,,,FALSE,C4542576,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1231,Patient receives hcv antibody test with nonreactive result,,,FALSE,C5884136,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L8500,"Artificial larynx, any type",,,FALSE,C0023081,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8500-L8515,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,65-5,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9172,"Injection, docetaxel (docivyx), 1 mg",,,FALSE,C5974288,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20241001,0,O1D=Chemotherapy,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0457,"Injection, aztreonam, 100 mg",,,FALSE,C5884030,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8808,"Trans-abdominal or trans-vaginal ultrasound not performed, reason not given",,,FALSE,C4542712,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20180101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J2504,"Injection, pegademase bovine, 25 iu",,,FALSE,C0919137,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20220101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,0095=AS REQUIRED BY BBRA SECTION 201.,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",,,FALSE,C0497979,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4034-B4088,N=No maintenance for this code,20110101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19860101,65-10,,A=Not applicable as HCPCS priced under one methodology,2130|4450,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T1002,"Rn services, up to 15 minutes",,,FALSE,C0994276,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0948,"Fracture frame, attachments for complex cervical traction",,,FALSE,C0498535,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,19890101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3904,"Wrist hand finger orthosis, external powered, electric, custom fabricated",,,FALSE,C0499753,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3806-L3904,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1070,"Patient not screened for future fall risk, reason not given",,,FALSE,C4746475,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E1087,"High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests",,,FALSE,C0498581,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1087-E1090,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0883,"Injection, argatroban, 1 mg (for non-esrd use)",,,FALSE,C4316103,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20170101,0,O1E=Other drugs,D=Special coverage instructions apply,20170101,,,A=Not applicable as HCPCS priced under one methodology,2049|4273.1,20170101,,YY,51=Drugs,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6571,"Gradient compression garment, genital region, custom, each",,,FALSE,C5883913,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5321,"Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee",,,FALSE,C0993976,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5301-L5341,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0030,"Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user",,,FALSE,C5574458,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C9764,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed",,,FALSE,C5439651,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20200701,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20200701,,YY,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9542,Documented re-assessment for the appropriateness of filter removal within 3 months of placement,,,FALSE,C4067491,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9451,"Exercise classes, non-physician provider, per session",,,FALSE,C1145348,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0466-G0470,Federally Qualified Health Center Visits,,,FALSE,C4542592,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6700-L6882,Prosthetic Procedures - Upper Limb - Terminal Devices,,,FALSE,C5228979,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0062,Audiology mips specialty set,,,FALSE,C5574487,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4332,"Lubricant, individual sterile packet, each",,,FALSE,C0918307,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9460,"Diabetic management program, nurse visit",,,FALSE,C0812857,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1109,"Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery",,,FALSE,C5203744,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J9349,"Injection, tafasitamab-cxix, 2 mg",,,FALSE,C5551011,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20210401,0,O1D=Chemotherapy,C=Carrier judgment,20210401,,,A=Not applicable as HCPCS priced under one methodology,,20210401,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0508-G0509,Critical Care Telehealth Consultation,,,FALSE,C4542598,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1034,Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days,,,FALSE,C4746451,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/J2471,"Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg",,,FALSE,C5974261,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9515,Patient did not require a return to the operating room within 90 days of surgery,,,FALSE,C4067466,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J7647,"Isoetharine hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram",,,FALSE,C1741945,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/K0815,"Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds",,,FALSE,C1741948,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M0249,"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose",,,FALSE,C5574598,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210624,0,O1G=Immunizations/Vaccinations,C=Carrier judgment,20210624,,,A=Not applicable as HCPCS priced under one methodology,,,,,54=Vaccinations,,,"V=Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2186,Patient /caregiver dyad has been referred to appropriate resources and connection to those resources is confirmed,,,FALSE,C5439699,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C5271,"Application of low cost 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",,,FALSE,C3685089,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20140101,0,P5A=Ambulatory procedures - skin,D=Special coverage instructions apply,20140101,,,A=Not applicable as HCPCS priced under one methodology,,20140101,,YY,53=Statute,,1833(t),F=Ambulatory surgical center (facility usage for surgical services)|2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1012,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each",,,FALSE,C4067418,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20160101,0,D1D=Wheelchairs,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1900,"Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated",,,FALSE,C0499519,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1900-L1990,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5280,"Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot",,,FALSE,C0499838,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5280-L5280,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8432,"Depression screening not documented, reason not given",,,FALSE,C1971274,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20170101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4330,"Total, per square centimeter",,,FALSE,C5974407,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J0735,"Injection, clonidine hydrochloride, 1 mg",,,FALSE,C0520138,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19980101,0,O1E=Other drugs,D=Special coverage instructions apply,19980101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5707,"Custom shaped protective cover, hip disarticulation",,,FALSE,C0499938,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5704-L5707,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0269,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)",,,FALSE,C1145144,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20030101,0,P6D=Minor procedures - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0108=NOT PAYABLE AS A SEPARATE PROCEDURE; SERVICE CONSIDERED BUNDLED INTO PRIMARY PROCEDURE.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4082,"Drug or biological, not otherwise classified, part b drug competitive acquisition program (cap)",,,FALSE,C1738575,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4074-Q4082,N=No maintenance for this code,20070101,0,D1E=Other DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0390,"Injection, chloroquine hydrochloride, up to 250 mg",,,FALSE,C0498767,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",,,FALSE,C4316087,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1900-L1990,N=No maintenance for this code,20160101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9449,"Weight management classes, non-physician provider, per session",,,FALSE,C1145347,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6011,"Collagen based wound filler, gel/paste, per gram of collagen",,,FALSE,C1144957,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20110101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S1091,"Stent, non-coronary, temporary, with delivery system (propel)",,,FALSE,C5574641,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20210401,0,Z2=Undefined codes,I=Not payable by Medicare,20210401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1598,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg",,,FALSE,C5974246,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A0422,"Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation",,,FALSE,C0497766,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20140101,0,O1A=Ambulance,I=Not payable by Medicare,19950101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1300-E1310,Whirlpool Equipment,,,FALSE,C0220792,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9298,"Patients who are evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure (e.g., history of dvt, pe, mi, arrhythmia and stroke)",,,FALSE,C3710399,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1415,Patients who did not have a positive pd-l1 biomarker expression test result prior to the initiation of first-line immune checkpoint inhibitor therapy,,,FALSE,C5974362,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",,,FALSE,C1314301,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20060401,0,D1E=Other DME,D=Special coverage instructions apply,20040101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0606,"Injection, etelcalcetide, 0.1 mg",,,FALSE,C4542789,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,20180101,,,A=Not applicable as HCPCS priced under one methodology,,20180101,,YY,51=Drugs,"0195=PUB. 100-4, CH.4, SEC 240.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S5000,"Prescription drug, generic",,,FALSE,C0919188,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4990-S5014,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4233-A4236,Replacement Batteries,,,FALSE,C4542547,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/J0208,"Injection, sodium thiosulfate (pedmark), 100 mg",,,FALSE,C5974215,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,20230401,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0104,"Zidovudine, oral, 100 mg",,,FALSE,C1314495,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20021001,0,Z2=Undefined codes,I=Not payable by Medicare,20021001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C8002,"Preparation of skin cell suspension autograft, automated, including all enzymatic processing and device components (do not report with manual suspension preparation)",,,FALSE,C5974104,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20250101,0,P1G=Major procedure - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,11=Price established using national RVU's,,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V2780,"Oversize lens, per lens",,,FALSE,C0500422,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V2209,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens",,,FALSE,C0500344,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,N=No maintenance for this code,19850101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0946,"Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster)",,,FALSE,C0498533,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,19890101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4595,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)",,,FALSE,C0497872,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20030101,0,D1E=Other DME,D=Special coverage instructions apply,19960101,45-25,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9501,"Radiation exposure indices not documented in final report for procedure using fluoroscopy, reason not given",,,FALSE,C4067452,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9693,Patient use of hospice services any time during the measurement period,,,FALSE,C4283833,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,Quality Measures,,,FALSE,C3242457,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/E0159,"Brake attachment for wheeled walker, replacement, each",,,FALSE,C0520098,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0156-E0159,N=No maintenance for this code,19980101,0,D1E=Other DME,C=Carrier judgment,19970101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S2348,"Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar",,,FALSE,C1509094,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20050101,0,Z2=Undefined codes,I=Not payable by Medicare,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",,,FALSE,C1314299,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,20040101,0,D1B=Hospital beds,D=Special coverage instructions apply,20040101,60-18,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9130,"Oncology; disease status; limited to multiple myeloma, systemic disease; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)",,,FALSE,C1621006,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0734,External upper limb tremor stimulator of the peripheral nerves of the wrist,,,FALSE,C5574579,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20240101,0,D1E=Other DME,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0652,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg",,,FALSE,C5974232,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,20240401,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6217,"Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",,,FALSE,C0520039,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H1004,"Prenatal care, at-risk enhanced service; follow-up home visit",,,FALSE,C0993934,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7210,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u.",,,FALSE,C4316281,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,20180101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S4040,"Monitoring and storage of cryopreserved embryos, per 30 days",,,FALSE,C1145326,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9145,"Injection, daratumumab, 10 mg",,,FALSE,C4316091,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20170101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20170101,,,A=Not applicable as HCPCS priced under one methodology,2049,20170101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4039,"Cast supplies, short leg cast, pediatric (0-10 years), plaster",,,FALSE,C0994034,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4540,"Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm",,,FALSE,C5574584,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20240101,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit",,,FALSE,C0520091,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4100-B4162,N=No maintenance for this code,20050101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19860101,65-10,,A=Not applicable as HCPCS priced under one methodology,2130|4450,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/L6925,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device",,,FALSE,C0500109,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6920-L6975,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7294,"Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each",,,FALSE,C5574561,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7294-J7307,N=No maintenance for this code,20211001,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20211001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862(a)(1),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",,,FALSE,C0520177,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7680,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram",,,FALSE,C0520213,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4267,"Contraceptive supply, condom, male, each",,,FALSE,C0009653,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0900,"Traction stand, free standing, pelvic traction, (e.g., buck's)",,,FALSE,C0498523,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,19940101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0838,"Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds",,,FALSE,C1739990,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7523,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report",,,FALSE,C5771537,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P2F=Major procedure - cardiovascular - Other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/L3215,"Orthopedic footwear, ladies shoe, oxford, each",,,FALSE,C0499667,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,S=Non-covered by Medicare statute,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A8,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/K0041,"Large size footplate, each",,,FALSE,C0499200,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,19940101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C8905,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",,,FALSE,C0993824,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8900-C8920,N=No maintenance for this code,20011001,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20011001,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B9002-B9999,Enteral and Parenteral Pumps,,,FALSE,C0812896,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20B4000-B9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0147,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision",,,FALSE,C0694946,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,19990101,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,19990101,,630=Cytology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,"0045=SEE INTERMEDIARY MANUAL 3628.1A FOR PAYMENT INSTRUCTIONS. (P3000,P3001 G0123, G0124, G0141, G0143, G0144, G0145, G0147, G0148). PROGRAM MEMORANDUM AB-98-71.60.",,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/J1455,"Injection, foscarnet sodium, per 1000 mg",,,FALSE,C0498865,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20170101,0,O1E=Other drugs,D=Special coverage instructions apply,19930101,,,A=Not applicable as HCPCS priced under one methodology,2049,20170101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1745,"Injection, infliximab, excludes biosimilar, 10 mg",,,FALSE,C0812736,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20170101,0,O1E=Other drugs,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2329,"Injection, ublituximab-xiiy, 1mg",,,FALSE,C5884067,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20230701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7520,"Sirolimus, oral, 1 mg",,,FALSE,C0919077,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20010101,0,O1E=Other drugs,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,,,,51=Drugs,,,G=Immunosuppressive drugs|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5975,"All lower extremity prosthesis, combination single axis ankle and flexible keel foot",,,FALSE,C0694977,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19990101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0240-E0248,Bath and Toilet Aids,,,FALSE,C0812954,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1954,"Injection, leuprolide acetate for depot suspension (cipla), 7.5 mg",,,FALSE,C5884063,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230401,0,O1D=Chemotherapy,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230401,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4194,"Novachor, per square centimeter",,,FALSE,C4746490,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L5974,"All lower extremity prostheses, foot, single axis ankle/foot",,,FALSE,C0499980,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9178,"Injection, epirubicin hcl, 2 mg",,,FALSE,C1314428,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1822,"Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system",,,FALSE,C4067398,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20180101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20160101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),F=Ambulatory surgical center (facility usage for surgical services)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1815,"Injection, insulin, per 5 units",,,FALSE,C1145198,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20030101,0,O1E=Other drugs,D=Special coverage instructions apply,20030101,60-14,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S9335,"Home therapy, hemodialysis; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing services coded separately), per diem",,,FALSE,C1314603,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20030701,0,Z2=Undefined codes,I=Not payable by Medicare,20030701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S0316,"Disease management program, follow-up/reassessment",,,FALSE,C1314505,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20061001,0,Z2=Undefined codes,I=Not payable by Medicare,20021001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S8990,Physical or manipulative therapy performed for maintenance rather than restoration,,,FALSE,C1314602,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4671,"Disposable cycler set used with cycler dialysis machine, each",,,FALSE,C1314238,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9721,"Patient not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in wheelchair",,,FALSE,C5551266,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A0200,Non-emergency transportation: ancillary: lodging escort,,,FALSE,C0497725,http://purl.bioontology.org/ontology/STY/T057,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,19820101,0,O1A=Ambulance,I=Not payable by Medicare,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T057
http://purl.bioontology.org/ontology/HCPCS/E0189,"Lambswool sheepskin pad, any size",,,FALSE,C0498387,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0181-E0199,N=No maintenance for this code,20010101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,4107.6,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J3301,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",,,FALSE,C0499014,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20090101,0,O1E=Other drugs,D=Special coverage instructions apply,19910101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5160,"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot",,,FALSE,C0499831,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5150-L5160,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9484,"Crisis intervention mental health services, per hour",,,FALSE,C1314606,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20020701,0,Z2=Undefined codes,I=Not payable by Medicare,20020701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5930,"Addition, endoskeletal system, high activity knee control frame",,,FALSE,C0499971,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19960101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0255,"Current perception threshold/sensory nerve conduction test, (snct) per limb, any nerve",,,FALSE,C1145130,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20021001,0,T2D=Other tests - other,M=Non-covered by Medicare,20021001,50-57,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/J1072,"Injection, testosterone cypionate (azmiro), 1 mg",,,FALSE,C5979726,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,D=Special coverage instructions apply,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0194=PUB. 100-4, CH. 15.",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5550-S5571,Temporary National Codes Established by Private Payers - Insulins Services,,,FALSE,C4542658,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20S0000-S9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",,,FALSE,C0497968,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6600,"Upper extremity additions, polycentric hinge, pair",,,FALSE,C0500025,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L0468,"Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal, and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710479,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9606,Intraoperative cystoscopy performed to evaluate for lower tract injury,,,FALSE,C4067529,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/S0187,"Tamoxifen citrate, oral, 10 mg",,,FALSE,C0994331,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1280,Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy,,,FALSE,C5849196,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G2009,"Comprehensive (60 minutes) in-home visit for an existing patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)",,,FALSE,C5229045,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9083,"Oncology; disease status; prostate cancer, limited to adenocarcinoma; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)",,,FALSE,C1618881,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2231,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware",,,FALSE,C2368401,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20090101,0,D1D=Wheelchairs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0561,"Humidifier, non-heated, used with positive airway pressure device",,,FALSE,C0499327,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0550-E0585,N=No maintenance for this code,20040101,0,D1E=Other DME,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5646,"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket",,,FALSE,C0499890,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3912,"Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf",,,FALSE,C3710527,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2321,"Lenticular lens, per lens, trifocal",,,FALSE,C1314653,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,2130.B,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/L6582,"Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, direct formed",,,FALSE,C0500020,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6580-L6590,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2208,Patient did not receive adjuvant treatment course including both chemotherapy and her2-targeted therapy,,,FALSE,C5439721,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L5652,"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket",,,FALSE,C0499896,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9328,"Injection, temozolomide, 1 mg",,,FALSE,C2729287,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20100101,0,O1D=Chemotherapy,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,20100101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4157,"Revitalon, per square centimeter",,,FALSE,C3871395,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20150101,0,O1E=Other drugs,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G0101,Cervical or vaginal cancer screening; pelvic and clinical breast examination,,,FALSE,C0520122,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0101-G0106,N=No maintenance for this code,19980101,0,M1A=Office visits - new,D=Special coverage instructions apply,19980101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,"0064=COVERAGE AND PAYMENT BASED ON BALANCED BUDGET ACT OF 1997 (G0101 - SEC 4102; G0104, G0105, G0106, G0107, G0120, G0121, G0122, G0128 - SEC 4104).",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0340,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatment",,,FALSE,C1508975,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20140101,0,P5E=Ambulatory procedures - other,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1896,"Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)",,,FALSE,C0993795,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G3003,"Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.)",,,FALSE,C5771596,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G3002-G3003,N=No maintenance for this code,20230101,0,P5E=Ambulatory procedures - other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L6629,"Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal",,,FALSE,C0500034,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9734,Patient refused to participate,,,FALSE,C4284598,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A6564,"Gradient compression stocking, waist length, 40 mmhg or greater, custom, each",,,FALSE,C5883906,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J8650,"Nabilone, oral, 1 mg",,,FALSE,C1742214,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care|G=Immunosuppressive drugs,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0158,"Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes",,,FALSE,C2958940,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20110101,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2615,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware",,,FALSE,C1508939,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2601-E2621,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2750-L2999,Orthotic Procedures - General Additions,,,FALSE,C0813035,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1600-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4306,"Disposable drug delivery system, flow rate of less than 50 ml per hour",,,FALSE,C0497810,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4305-A4306,N=No maintenance for this code,20070101,0,D1A=Medical/surgical supplies,C=Carrier judgment,19930101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9363,"Home infusion therapy, anti-spasmotic therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994235,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20041001,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9502,"Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994259,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9490-S9810,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9978,"Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a problem focused history; a problem focused examination; and straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology",,,FALSE,C4722213,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20181001,0,M1A=Office visits - new,C=Carrier judgment,20181001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S0250,Comprehensive geriatric assessment and treatment planning performed by assessment team,,,FALSE,C0994074,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J9019,"Injection, asparaginase (erwinaze), 1,000 iu",,,FALSE,C3534675,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20130101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20130101,,,A=Not applicable as HCPCS priced under one methodology,2049,20130101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8694,Current or prior left ventricular ejection fraction (lvef) < = 40% or documentation of moderate or severe lvsd,,,FALSE,C3248440,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20250101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/B4083,Stomach tube - levine type,,,FALSE,C0491127,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4034-B4088,N=No maintenance for this code,20020101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19860101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9375,"Home infusion therapy, hydration therapy; more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994245,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6200,"Elbow disarticulation, molded socket, outside locking hinge, forearm",,,FALSE,C0500000,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6200-L6205,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9338,"Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994218,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T4535,"Disposable liner/shield/guard/pad/undergarment, for incontinence, each",,,FALSE,C1509117,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20050101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5972,"All lower extremity prostheses, foot, flexible keel",,,FALSE,C0499979,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4284,"Breast shield and splash protector for use with breast pump, replacement",,,FALSE,C1144912,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20070101,0,Z2=Undefined codes,C=Carrier judgment,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/B4161,"Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",,,FALSE,C1508848,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4100-B4162,N=No maintenance for this code,20050101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,20050101,65-10,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/J1558,"Injection, immune globulin (xembify), 100 mg",,,FALSE,C5439741,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20200701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4273,"Esano aaa, per square centimeter",,,FALSE,C5884241,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,Quality Measures: Miscellaneous,,,FALSE,C4542611,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0969,"Narrowing device, wheelchair",,,FALSE,C0498549,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0813,"Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds",,,FALSE,C1743171,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J8541,"Dexamethasone (hemady), oral, 0.25 mg",,,FALSE,C5974279,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,N=No maintenance for this code,20241001,0,O1E=Other drugs,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2169,"Services performed by an occupational therapist assistant in the home health setting in the delivery of a safe and effective occupational therapy maintenance program, each 15 minutes",,,FALSE,C5439684,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5678,"Additions to lower extremity, below knee, joint covers, pair",,,FALSE,C0499918,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19840101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7660,"Isoproterenol hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram",,,FALSE,C1738021,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2112,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment",,,FALSE,C0499551,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2106-L2136,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9729,"Patient unable to complete the lepf prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available",,,FALSE,C4746373,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q0084,"Chemotherapy administration by infusion technique only, per visit",,,FALSE,C0500262,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0083-Q0085,N=No maintenance for this code,19960101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19920101,60-14,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0041=SEE MEDICARE INTERMEDIARY MANUAL SECTION 3112.4 (Q0081, Q0083, Q0084, Q0085).",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4604,Tubing with integrated heating element for use with positive airway pressure device,,,FALSE,C1618849,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20060101,0,D1E=Other DME,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0280,"Medical home program, comprehensive care coordination and planning, initial plan",,,FALSE,C2729375,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20100101,0,Z2=Undefined codes,I=Not payable by Medicare,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6452,"High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard",,,FALSE,C1314254,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6413-A6461,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2603,"Skin protection wheelchair seat cushion, width less than 22 inches, any depth",,,FALSE,C1508927,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2601-E2621,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0270,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes",,,FALSE,C1145145,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20030101,0,M5D=Specialist - other,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0105,Colorectal cancer screening; colonoscopy on individual at high risk,,,FALSE,C0520124,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0101-G0106,N=No maintenance for this code,19980101,0,P8D=Endoscopy - colonoscopy,D=Special coverage instructions apply,19980101,,,A=Not applicable as HCPCS priced under one methodology,,19980101,,YY,11=Price established using national RVU's,"0064=COVERAGE AND PAYMENT BASED ON BALANCED BUDGET ACT OF 1997 (G0101 - SEC 4102; G0104, G0105, G0106, G0107, G0120, G0121, G0122, G0128 - SEC 4104).",,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G9770,Peripheral nerve block (pnb),,,FALSE,C4316183,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1800,"Dynamic adjustable elbow extension and flexion device, includes soft interface material",,,FALSE,C0498672,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20250101,0,D1E=Other DME,C=Carrier judgment,19960101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each",,,FALSE,C0498611,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1220-E1228,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0642,"Injection, levoleucovorin (khapzory), 0.5 mg",,,FALSE,C5229156,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9380,"Injection, teclistamab-cqyv, 0.5 mg",,,FALSE,C5848455,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20230701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6526,"Gradient compression garment, full leg and foot, padded, for nighttime use, each",,,FALSE,C5883889,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2328,"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware",,,FALSE,C1314349,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4107,"Graftjacket, per square centimeter",,,FALSE,C2959309,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/V2600,Hand held low vision aids and other nonspectacle mounted aids,,,FALSE,C0500397,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2600-V2615,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J7168,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",,,FALSE,C5551010,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20210701,0,O1E=Other drugs,C=Carrier judgment,20210701,,,A=Not applicable as HCPCS priced under one methodology,,20210701,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S2401,"Repair, urinary tract obstruction in the fetus, procedure performed in utero",,,FALSE,C0994115,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S0812,Phototherapeutic keratectomy (ptk),,,FALSE,C4760983,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,"Bifocal, Glass, or Plastic",,,FALSE,C0813135,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20V0000-V2999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A0021,"Ambulance service, outside state per mile, transport (medicaid only)",,,FALSE,C0497707,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,19960910,0,O1A=Ambulance,I=Not payable by Medicare,19850101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),A0030,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V2785,"Processing, preserving and transporting corneal tissue",,,FALSE,C0500423,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19900101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G4010,Infectious disease mips specialty set,,,FALSE,C5574513,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0293,"Noncovered surgical procedure(s) using conscious sedation, regional, general or spinal anesthesia in a medicare qualifying clinical trial, per day",,,FALSE,C1145161,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20030101,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0107=PAYMENT IS FOR HOSPITAL OUTPATIENT ONLY. NOT PAYABLE UNDER THE PHYSICIAN FEE SCHEDULE; IN ACCORDANCE WITH FR DATE 8/9/2002 (HOPPS), PAGE 52105.",,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2190,Patients with clinical indications for imaging of the head: headache radiating to the neck,,,FALSE,C5439703,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0500,"Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)",,,FALSE,C4316269,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0500-G0500,N=No maintenance for this code,20170101,0,P0=Anesthesia,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2786,"Specialty occupational multifocal lens, per lens",,,FALSE,C1314661,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,2130.B,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/Q9004,Department of veterans affairs whole health partner services,,,FALSE,C5574640,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9001-Q9004,N=No maintenance for this code,20211001,0,Z2=Undefined codes,C=Carrier judgment,20211001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,99=Value not established,,,3=Consultation,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E1702,"Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200",,,FALSE,C0498671,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1700-E1702,N=No maintenance for this code,19960101,0,D1E=Other DME,C=Carrier judgment,19930101,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3620,"Transfer of an orthosis from one shoe to another, solid stirrup, existing",,,FALSE,C0499724,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3600-L3649,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C9354,"Acellular pericardial tissue matrix of non-human origin (veritas), per square centimeter",,,FALSE,C2368660,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20080101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,621MMA,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6532,"Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each",,,FALSE,C0500153,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),0072=COMPRESSION LEVELS FOR PRODUCTS IDENTIFIED BY THESE CODES (L8100 - L8200) HAVE BEEN VALIDATED BY A ASTM/NAHM SANCTIONED INDEPENDENT TEST FACILITY.,,"S=Surgical dressings or other medical supplies (eff 04/95)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1257,"Cvd risk assessment not performed or incomplete (e.g., cvd risk assessment was not documented), reason not otherwise specified",,,FALSE,C5884162,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4351,"Enclose tl matrix, per square centimeter",,,FALSE,C5974428,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/S5136,"Companion care, adult (e.g., iadl/adl); per diem",,,FALSE,C1314567,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L8627,"Cochlear implant, external speech processor, component, replacement",,,FALSE,C2729359,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8608-L8629,N=No maintenance for this code,20100101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20100101,65-14,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1327,Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 8 weeks,,,FALSE,C5884192,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A0433,"Advanced life support, level 2 (als 2)",,,FALSE,C0918298,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20010101,0,O1A=Ambulance,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9740,Hospice services given to patient any time during the measurement period,,,FALSE,C4316205,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L5618,"Addition to lower extremity, test socket, symes",,,FALSE,C0499870,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5618-L5628,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/K0073,"Caster pin lock, each",,,FALSE,C0499232,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,19940101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q5133,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",,,FALSE,C5974431,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20241001,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,20241001,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment",,,FALSE,C1616337,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4281,"Barrera sl or barrera dl, per square centimeter",,,FALSE,C5884249,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A4210,"Needle-free injection device, each",,,FALSE,C0497781,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,19960101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,19890101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6030,"Upper extremity addition, external frame, partial hand including fingers",,,FALSE,C5979748,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6000-L6037,A=Add procedure or modifier code,20250401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7634,"Budesonide, inhalation solution, compounded product, administered through dme, concentrated form, per 0.25 milligram",,,FALSE,C1743168,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4182,"Transcyte, per square centimeter",,,FALSE,C4542813,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/K0853,"Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds",,,FALSE,C1737759,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7900,"Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 15-29 minutes, provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service",,,FALSE,C5771569,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20240101,0,M2A=Hospital visit - initial,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4125,"Arthroflex, per square centimeter",,,FALSE,C3248670,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20120101,0,O1E=Other drugs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L3740,"Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated",,,FALSE,C0499735,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3702-L3766,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0184,Dry pressure mattress,,,FALSE,C0498383,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0181-E0199,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,4107.6,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0373,Nonpowered advanced pressure reducing mattress,,,FALSE,C0520110,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19980101,0,D1E=Other DME,C=Carrier judgment,19980101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P9041,"Infusion, albumin (human), 5%, 50 ml",,,FALSE,C0919121,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20010101,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/T1020,"Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)",,,FALSE,C1145363,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20020701,0,Z2=Undefined codes,I=Not payable by Medicare,20020701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J9064,"Injection, cabazitaxel (sandoz), not therapeutically equivalent to j9043, 1 mg",,,FALSE,C5884092,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20231001,0,O1D=Chemotherapy,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,Wheelchair Accessories: Manual and Power,,,FALSE,C4542577,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2710,"Slab off prism, glass or plastic, per lens",,,FALSE,C0500409,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A2035,"Corplex p or theracor p or allacor p, per milligram",,,FALSE,C5979697,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,A=Add procedure or modifier code,20250401,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G0453,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure)",,,FALSE,C3534800,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0452-G0465,N=No maintenance for this code,20130101,0,T2D=Other tests - other,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L1240,"Addition to tlso, (low profile), lumbar derotation pad",,,FALSE,C0499473,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1200-L1290,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4208,"Novafix, per square cenitmeter",,,FALSE,C5229199,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Q9997,"Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg",,,FALSE,C5974446,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9982-Q9999,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/T4524,"Adult sized disposable incontinence product, brief/diaper, extra large, each",,,FALSE,C1509106,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20050101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2508,"Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device",,,FALSE,C0919093,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2500-E2599,N=No maintenance for this code,20190101,0,D1E=Other DME,D=Special coverage instructions apply,20040101,60-23,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5704,"Custom shaped protective cover, below knee",,,FALSE,C0499935,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5704-L5707,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L8032,"Nipple prosthesis, prefabricated, reusable, any type, each",,,FALSE,C2729357,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8000-L8039,N=No maintenance for this code,20200101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6447,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard",,,FALSE,C1314249,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6413-A6461,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9223,Pneumocystis jiroveci pneumonia prophylaxis prescribed within 3 months of low cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15%,,,FALSE,C3710327,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A9521,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries",,,FALSE,C1145005,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4313,"Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation",,,FALSE,C0497814,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,19900101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1499,"Spinal orthosis, not otherwise specified",,,FALSE,C0520220,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1300-L1499,N=No maintenance for this code,19980101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4316,"Amchoplast, per square centimeter",,,FALSE,C5974393,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A9516,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries",,,FALSE,C1145427,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20080101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1223,"Wheelchair with detachable arms, footrests",,,FALSE,C0498608,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1220-E1228,N=No maintenance for this code,19900101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-6,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3915,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710528,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4623,"Tracheostomy, inner cannula",,,FALSE,C0497882,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4611-A4629,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,65-16,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2222,"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each",,,FALSE,C1617830,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/A9606,"Radium ra-223 dichloride, therapeutic, per microcurie",,,FALSE,C3871241,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0083,"Moderate (45 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)",,,FALSE,C4746313,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0068-G0090,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L0627,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710483,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0625-L0627,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C2644,"Brachytherapy source, cesium-131 chloride solution, per millicurie",,,FALSE,C3871243,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2634-C2699,N=No maintenance for this code,20190101,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20140701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),6=Therapeutic radiology|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0285,"Injection, amphotericin b, 50 mg",,,FALSE,C0694951,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19990101,0,O1E=Other drugs,D=Special coverage instructions apply,19990101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C8928,"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",,,FALSE,C1971563,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8921-C8930,N=No maintenance for this code,20090101,0,I3C=Echography/ultrasonography - heart,D=Special coverage instructions apply,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A6572,"Gradient compression garment, toe caps, each",,,FALSE,C5883914,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0420-G0421,Educational Services,,,FALSE,C4542586,http://purl.bioontology.org/ontology/STY/T065,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T065
http://purl.bioontology.org/ontology/HCPCS/Q2009,"Injection, fosphenytoin, 50 mg phenytoin equivalent",,,FALSE,C2729366,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,N=No maintenance for this code,20200101,0,O1E=Other drugs,D=Special coverage instructions apply,20000701,,,A=Not applicable as HCPCS priced under one methodology,2049,20200101,,YY,51=Drugs,,1861S2B,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0498-G0498,Chemotherapy Administration,,,FALSE,C3665478,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K0878,"Power wheelchair, group 4 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds",,,FALSE,C1738571,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0493,"Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only",,,FALSE,C1618900,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1260,"Injection, dolasetron mesylate, 10 mg",,,FALSE,C0694955,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20000101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19990101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9303,"Injection, zolbetuximab-clzb, 1 mg",,,FALSE,C5979713,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,D=Special coverage instructions apply,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1306,"Injection, inclisiran, 1 mg",,,FALSE,C5771614,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20220701,0,O1E=Other drugs,C=Carrier judgment,20220701,,,A=Not applicable as HCPCS priced under one methodology,,20220701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4308,"Sanopellis, per square centimeter",,,FALSE,C5974385,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/M1350,"Patients who had a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical encounter",,,FALSE,C5884213,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A6443,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard",,,FALSE,C1314245,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6413-A6461,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0597,"Injection, c-1 esterase inhibitor (human), berinert, 10 units",,,FALSE,C2959233,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20110101,0,O1E=Other drugs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,20110101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1627,"Injection, granisetron, extended-release, 0.1 mg",,,FALSE,C4542690,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,20180101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9329,"Injection, tislelizumab-jsgr, 1mg",,,FALSE,C5974293,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20250101,0,O1D=Chemotherapy,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S4021,"In vitro fertilization procedure cancelled after aspiration, case rate",,,FALSE,C0994137,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,S=Change in short description of procedure code,20250401,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9920,Screening performed and negative,,,FALSE,C4542750,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,F=Change in administrative data field of procedure or modifier code,20250101,0,Z2=Undefined codes,I=Not payable by Medicare,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G8570,Prolonged postoperative intubation (> 24 hrs) not required,,,FALSE,C2729212,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20140101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/K0898,"Power wheelchair, not otherwise classified",,,FALSE,C1738572,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1260,"Lightweight wheelchair, detachable arms (desk or full length) swing away detachable footrest",,,FALSE,C0498617,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1240-E1270,N=No maintenance for this code,20010401,0,D1D=Wheelchairs,I=Not payable by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,K0003,,http://purl.bioontology.org/ontology/HCPCS/K0003,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0780,"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours",,,FALSE,C0812702,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0776-E0791,N=No maintenance for this code,20000101,0,D1E=Other DME,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",,,FALSE,C0498430,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19910101,0,D1B=Hospital beds,D=Special coverage instructions apply,19910101,60-18,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L7900,Male vacuum erection system,,,FALSE,C0520172,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7900-L7902,N=No maintenance for this code,20160101,0,D1F=Prosthetic/Orthotic devices,S=Non-covered by Medicare statute,19970101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1834a,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1248,"Patient responded ""completely true"" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem",,,FALSE,C5884153,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0680,Non-pneumatic compression controller with sequential calibrated gradient pressure,,,FALSE,C5574585,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0678-E0683,N=No maintenance for this code,20240101,0,D1E=Other DME,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/B4102,"Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit",,,FALSE,C1508840,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4100-B4162,N=No maintenance for this code,20050101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,20050101,65-10,,A=Not applicable as HCPCS priced under one methodology,,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/V5268,"Assistive listening device, telephone amplifier, any type",,,FALSE,C0994317,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5268-V5290,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5261,"Hearing aid, digital, binaural, bte",,,FALSE,C0994310,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G4032,Rheumatology mips specialty set,,,FALSE,C5574535,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",,,FALSE,C0498382,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0181-E0199,N=No maintenance for this code,20070101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,4107.6,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9348,"Home infusion therapy, sympathomimetic/inotropic agent infusion therapy (e.g., dobutamine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994227,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V5362,Speech screening,,,FALSE,C0500454,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5362-V5364,N=No maintenance for this code,20040101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19900101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862(a)(7),1=Medical care|W=Physical therapy,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A6450,"Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard",,,FALSE,C1314252,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6413-A6461,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6713,"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric",,,FALSE,C1971366,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6700-L6882,N=No maintenance for this code,20090101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M0301,Fabric wrapping of abdominal aneurysm,,,FALSE,C0500227,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20040101,0,P1G=Major procedure - other,M=Non-covered by Medicare,19860101,35-34,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q3027,"Injection, interferon beta-1a, 1 mcg for intramuscular use",,,FALSE,C3710557,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q3027-Q3028,N=No maintenance for this code,20140101,0,O1E=Other drugs,D=Special coverage instructions apply,20140101,,,A=Not applicable as HCPCS priced under one methodology,2049,20140101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6596,"Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each",,,FALSE,C5883936,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6593-A6611,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6232,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing",,,FALSE,C0918321,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4274,"Esano ac, per square centimeter",,,FALSE,C5884242,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J7316,"Injection, ocriplasmin, 0.125 mg",,,FALSE,C3710276,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7311-J7316,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L1220,"Addition to tlso, (low profile), anterior thoracic extension",,,FALSE,C0499471,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1200-L1290,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1429,"Injection, golodirsen, 10 mg",,,FALSE,C5439739,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20200701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4239,"Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",,,FALSE,C5771504,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20230101,0,D1E=Other DME,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2941,"Injection, somatropin, 1 mg",,,FALSE,C0919141,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230101,0,O1E=Other drugs,D=Special coverage instructions apply,20020101,,,A=Not applicable as HCPCS priced under one methodology,2049,20230101,,YY,51=Drugs,,1861s2b,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E2351,"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface",,,FALSE,C1314357,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20190101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4312,"Acesso ac, per square centimeter",,,FALSE,C5974389,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J0775,"Injection, collagenase, clostridium histolyticum, 0.01 mg",,,FALSE,C2959237,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20110101,0,O1E=Other drugs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,20110101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4252,"Blood ketone test or reagent strip, each",,,FALSE,C1971040,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20080101,0,D1E=Other DME,S=Non-covered by Medicare statute,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1640,"Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated",,,FALSE,C0499488,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1600-L1690,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2599,"Contact lens, other type",,,FALSE,C0500396,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2500-V2599,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A9596,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie",,,FALSE,C5771507,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20220701,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20220701,,,A=Not applicable as HCPCS priced under one methodology,,20220701,,YY,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/G8535,"Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter related to one of the following reasons: (1) patient refuses to participate in the screening and has reasonable decisional capacity for self-protection, or (2) patient is in an urgent or emergent situation where time is of the essence and to delay treatment to perform the screening would jeopardize the patient's health status",,,FALSE,C2368469,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20240101,0,M5D=Specialist - other,C=Carrier judgment,20090101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4248,"Chlorhexidine containing antiseptic, 1 ml",,,FALSE,C1314218,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),C=Carrier judgment,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9832,"Ajcc stage at breast cancer diagnosis = i (ia or ib) and t-stage at breast cancer diagnosis does not equal = t1, t1a, t1b",,,FALSE,C4316127,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/T4531,"Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each",,,FALSE,C1509113,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20050101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q5120,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg",,,FALSE,C5439797,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20230401,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20200701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5289,"Assistive listening device, personal fm/dm adapter/boot coupling device for receiver, any type",,,FALSE,C3534645,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5268-V5290,N=No maintenance for this code,20130101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862a7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0260,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography",,,FALSE,C1145135,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20041001,0,O1E=Other drugs,D=Special coverage instructions apply,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,20030101,,YY,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0107=PAYMENT IS FOR HOSPITAL OUTPATIENT ONLY. NOT PAYABLE UNDER THE PHYSICIAN FEE SCHEDULE; IN ACCORDANCE WITH FR DATE 8/9/2002 (HOPPS), PAGE 52105.",,F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1178,"Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., prior anaphylaxis due to the pneumococcal vaccine)",,,FALSE,C5771684,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q0113,Pinworm examinations,,,FALSE,C0918203,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0111-Q0115,N=No maintenance for this code,19940101,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,19940101,,130=Parasitology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G9765,"Documentation that the patient declined change in medication or alternative therapies were unavailable, has documented contraindications, or has not been treated with a systemic medication for at least six consecutive months (e.g., experienced adverse effects or lack of efficacy with all other therapy options) in order to achieve better disease control as measured by pga, bsa, pasi, or dlqi",,,FALSE,C4542722,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8030-S8092,Temporary National Codes Established by Private Payers - Imaging,,,FALSE,C4542659,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20S0000-S9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9060,Oncology; practice guidelines; management differs from guidelines for reason(s) associated with patient comorbid illness or performance status not factored into guidelines (for use in a medicare-approved demonstration project),,,FALSE,C1618364,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0480,"Percussor, electric or pneumatic, home model",,,FALSE,C0498459,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9330,"Injection, temsirolimus, 1 mg",,,FALSE,C1971565,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,20090101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5962,"Addition, endoskeletal system, below knee, flexible protective outer surface covering system",,,FALSE,C0499975,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19940101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1804,"Dynamic adjustable elbow flexion only device, includes soft interface material",,,FALSE,C5974135,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20250101,0,D1E=Other DME,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0472,"Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pressure device)",,,FALSE,C1314302,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20060401,0,D1E=Other DME,D=Special coverage instructions apply,20040101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2020,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated",,,FALSE,C0499535,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2000-L2038,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2270,"Injection, morphine sulfate, up to 10 mg",,,FALSE,C0498935,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9125,"Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; blast phase not in hematologic, cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)",,,FALSE,C1617857,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/H0023,Behavioral health outreach service (planned approach to reach a targeted population),,,FALSE,C0919059,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9211,"Home management of gestational hypertension, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately); per diem (do not use this code with any home infusion per diem code)",,,FALSE,C0994203,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9208-S9214,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1737,"Joint fusion and fixation device(s), sacroiliac and pelvis, including all system components (implantable)",,,FALSE,C5974095,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20250101,0,P3D=Major procedure - orthopedic - other,D=Special coverage instructions apply,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q5128,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg",,,FALSE,C5884273,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20230401,0,O1E=Other drugs,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,20230401,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L4392,"Replacement, soft interface material, static afo",,,FALSE,C0520165,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4350-L4631,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19970101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G3002,"Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.)",,,FALSE,C5771595,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G3002-G3003,N=No maintenance for this code,20230101,0,P5E=Ambulatory procedures - other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L2136,"Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment",,,FALSE,C0499560,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2106-L2136,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4330,"Perianal fecal collection pouch with adhesive, each",,,FALSE,C0497826,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2280,"Injection, moxifloxacin, 100 mg",,,FALSE,C1314418,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20040101,0,O1E=Other drugs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2010,"Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment",,,FALSE,C4746319,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20190101,0,M5D=Specialist - other,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K0871,"Power wheelchair, group 4 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds",,,FALSE,C1738029,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",,,FALSE,C1144919,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S3620,"Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total)",,,FALSE,C0919184,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20010701,0,Z2=Undefined codes,D=Special coverage instructions apply,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6454,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard",,,FALSE,C1314256,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6413-A6461,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S8186,Swivel adapter,,,FALSE,C0994173,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8096-S8210,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A2006,"Novosorb synpath dermal matrix, per square centimeter",,,FALSE,C5574425,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20220101,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20220101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0163,"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen",,,FALSE,C0694988,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0138-Q0249,N=No maintenance for this code,19980401,0,O1D=Chemotherapy,D=Special coverage instructions apply,19980401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,4557,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9805,Patients who use hospice services any time during the measurement period,,,FALSE,C4283832,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0980,"Safety vest, wheelchair",,,FALSE,C0498559,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8680,"Implantable neurostimulator electrode, each",,,FALSE,C0993861,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8678-L8689,N=No maintenance for this code,20140401,0,D1F=Prosthetic/Orthotic devices,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9271,"Injection, pembrolizumab, 1 mg",,,FALSE,C3871249,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20160101,0,O1D=Chemotherapy,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1245,"Patient provided a response other than ""completely true"" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem",,,FALSE,C5884150,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1270,Patients not on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period,,,FALSE,C5884175,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L6250,"Above elbow, molded double wall socket, internal locking elbow, forearm",,,FALSE,C0500002,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6250-L6250,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S5552,"Insulin, intermediate acting (nph or lente); 5 units",,,FALSE,C1314587,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5550-S5571,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G6005,"Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 11-19 mev",,,FALSE,C0373369,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G6003-G6017,N=No maintenance for this code,20150101,0,P7A=Oncology - radiation therapy,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C7511,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed",,,FALSE,C5771525,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P8F=Endoscopy - bronchoscopy,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G9071,"Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage i or stage iia-iib; or t3, n1, m0; and er and/or pr positive; with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1616831,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6563,"Gradient compression stocking, waist length, 30-40 mmhg, custom, each",,,FALSE,C5883905,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0175,"Foot rest, for use with commode chair, each",,,FALSE,C0498378,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0163-E0175,N=No maintenance for this code,19960101,0,D1E=Other DME,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0088,"Imatinib, 100 mg",,,FALSE,C0994048,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20081001,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0108,"Diabetes outpatient self-management training services, individual, per 30 minutes",,,FALSE,C0694930,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0108-G0109,N=No maintenance for this code,20010101,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,19980701,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,"0071=G0108, G0109, SEE PROGRAM MEMORANDUM AB-99-30, MAY 1999, PROGRAM MEMORANDUM AB-98-36.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1083-E1086,Wheelchair: Hemi,,,FALSE,C4542574,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0471-G0476,Temporary Procedures/Professional Services - Other Miscellaneous Services,,,FALSE,C4542593,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9187,"Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, fluid status, medication reconciliation/management, patient compliance with orders/plan of care, performance of activities of daily living, appropriateness of care setting; (for use only in the meidcare-approved bundled payments for care improvement initiative); may not be billed for a 30-day period covered by a transitional care management code",,,FALSE,C3710291,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9187-G9187,N=No maintenance for this code,20131001,0,M5D=Specialist - other,C=Carrier judgment,20131001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0690,"Injection, cefazolin sodium, 500 mg",,,FALSE,C0498792,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20000101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S5012,"5% dextrose with potassium chloride, 1000 ml",,,FALSE,C0919194,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4990-S5014,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1813,"Prosthesis, penile, inflatable",,,FALSE,C0182504,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1779,"Lead, pacemaker, transvenous vdd single pass",,,FALSE,C0993766,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J8565,"Gefitinib, oral, 250 mg",,,FALSE,C1509028,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,N=No maintenance for this code,20150101,0,O1E=Other drugs,D=Special coverage instructions apply,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0127=PUBLICATION 100.2, CHAPTER 15, 50.1.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0995,"Wheelchair accessory, calf rest/pad, replacement only, each",,,FALSE,C0498565,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,C=Carrier judgment,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/E2301,"Wheelchair accessory, power standing system, any type",,,FALSE,C1314338,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20140101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4660,Sphygmomanometer/blood pressure apparatus with cuff and stethoscope,,,FALSE,C0497899,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9032,"Injection, belinostat, 10 mg",,,FALSE,C3871254,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20160101,0,O1D=Chemotherapy,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/T1999,"Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in ""remarks""",,,FALSE,C1145376,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4226,"Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week",,,FALSE,C5228995,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,20200915,0,Z2=Undefined codes,I=Not payable by Medicare,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q9003,"Counseling, group, by chaplain services",,,FALSE,C5771734,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9001-Q9004,N=No maintenance for this code,20221001,0,Z2=Undefined codes,C=Carrier judgment,20201001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,99=Value not established,,,3=Consultation,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C1816,"Receiver and/or transmitter, neurostimulator (implantable)",,,FALSE,C0993776,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5535,"Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket",,,FALSE,C0499855,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5510-L5600,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0041,Patient and/or care partner decline referral,,,FALSE,C5574467,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",,,FALSE,C0520090,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4100-B4162,N=No maintenance for this code,20050101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19840101,65-10,,A=Not applicable as HCPCS priced under one methodology,2130|4450,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/A4282,"Adapter for breast pump, replacement",,,FALSE,C1144910,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20070101,0,Z2=Undefined codes,C=Carrier judgment,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1378,"Documentation of medical reason(s) for not recommending a 10 year follow-up interval (e.g., inadequate prep, familial or personal history of colonic polyps, patient had no adenoma and age is >= 66 years old, or life expectancy < 10 years, other medical reasons)",,,FALSE,C5974326,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/K0855,"Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more",,,FALSE,C1743175,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4309,"Via matrix, per square centimeter",,,FALSE,C5974386,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L5595,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model",,,FALSE,C0499862,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5510-L5600,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/P9058,"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit",,,FALSE,C1145014,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20040101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,1833T,"0=Whole blood only eff 01/96, whole blood or packed red cells before 01/96",,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",,,FALSE,C1314306,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20160701,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9741,Patients who use hospice services any time during the measurement period,,,FALSE,C4283832,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0272,"Mattress, foam rubber",,,FALSE,C0498422,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19930101,0,D1B=Hospital beds,D=Special coverage instructions apply,19860101,60-9|60-18,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5964,"Addition, endoskeletal system, above knee, flexible protective outer surface covering system",,,FALSE,C0499976,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19940101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4657,"Syringe, with or without needle, each",,,FALSE,C0993680,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7509,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed",,,FALSE,C5771523,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P8F=Endoscopy - bronchoscopy,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/E0199,"Dry pressure pad for mattress, standard mattress length and width",,,FALSE,C0520105,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0181-E0199,N=No maintenance for this code,19980101,0,D1E=Other DME,D=Special coverage instructions apply,19910101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",,,FALSE,C0520036,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1748,"Endoscope, single-use (i.e. disposable), upper gi, imaging/illumination device (insertable)",,,FALSE,C5439629,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20240101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),9=Other medical items or services|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1035,Adults who are deliberately phased out of medication assisted treatment (mat) prior to 180 days of continuous treatment,,,FALSE,C4722499,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/Q2052,"Services, supplies and accessories used in the home for the administration of intravenous immune globulin (ivig)",,,FALSE,C3710556,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,N=No maintenance for this code,20230701,0,O1E=Other drugs,D=Special coverage instructions apply,20140401,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,0192=PL 112-242.,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0190,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types)",,,FALSE,C0499400,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0180-L0200,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2079,Take-home supply of buprenorphine (oral); up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure,,,FALSE,C5229070,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,M5D=Specialist - other,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2702,Deluxe lens feature,,,FALSE,C1509125,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,M=Non-covered by Medicare,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2130B,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/L0160,"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf",,,FALSE,C3710468,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0112-L0174,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0651,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg",,,FALSE,C5974231,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,20240401,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4292,"Lamellas, per square centimeter",,,FALSE,C5884260,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9969,Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred,,,FALSE,C4542787,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0048,Patients who receive palliative care services any time during the intake period through the end of the measurement year,,,FALSE,C5552824,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G8578,"Re-exploration not required due to mediastinal bleeding with or without tamponade, unplanned coronary artery intervention (native, vessel, graft, or both), valve dysfunction, aortic reintervention, or other cardiac reason",,,FALSE,C2729220,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V2318,"Aniseikonic lens, trifocal",,,FALSE,C0500375,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9964,Patient received at least one well-child visit with a pcp during the performance period,,,FALSE,C4542782,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J7685,"Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams",,,FALSE,C1743169,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4028,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass",,,FALSE,C0994023,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0743,"External lower extremity nerve stimulator for restless legs syndrome, each",,,FALSE,C5974132,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20241001,0,D1E=Other DME,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9955,Cases in which an inhalational anesthetic is used only for induction,,,FALSE,C4542775,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9776,"Documentation of medical reason for not receiving at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively (e.g., intolerance or other medical reason)",,,FALSE,C4316177,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S3800,Genetic testing for amyotrophic lateral sclerosis (als),,,FALSE,C1971381,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S3800-S3870,N=No maintenance for this code,20070701,0,Z2=Undefined codes,I=Not payable by Medicare,20070701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/G8839,"Sleep apnea symptoms assessed, including presence or absence of snoring and daytime sleepiness",,,FALSE,C3248575,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0716,Supplies and accessories for intravaginal device intended to strengthen pelvic floor muscles during kegel exercises,,,FALSE,C5974126,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0710-E0716,N=No maintenance for this code,20241001,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20241001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0484,"Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only",,,FALSE,C1621018,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/STY/T123,Biologically Active Substance,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T120,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T122,Biomedical or Dental Material,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T120,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T129,Immunologic Factor,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T123,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T127,Vitamin,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T123,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T120,Chemical Viewed Functionally,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T103,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T126,Enzyme,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T123,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T121,Pharmacologic Substance,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T120,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T125,Hormone,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T123,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/HCPCS/G2174,Uri episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date,,,FALSE,C5439688,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V2744,"Tint, photochromatic, per lens",,,FALSE,C0500417,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,2130B,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1134,"Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)",,,FALSE,C5203754,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V2530,"Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325)",,,FALSE,C0500394,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2500-V2599,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A9529,"Iodine i-131 sodium iodide solution, diagnostic, per millicurie",,,FALSE,C1314271,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/G0916,Satisfaction with care achieved within 90 days following cataract surgery,,,FALSE,C3248431,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0913-G0918,N=No maintenance for this code,20120101,0,M5D=Specialist - other,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1197,Itch severity assessment score is reduced by 3 or more points from the initial (index) assessment score to the follow-up visit score,,,FALSE,C5849213,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L2425,"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint",,,FALSE,C0499596,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2405-L2492,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6384,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular thoracic",,,FALSE,C0500011,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6380-L6388,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7300,Intrauterine copper contraceptive,,,FALSE,C0499065,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7294-J7307,N=No maintenance for this code,19960101,0,P6C=Minor procedures - other (Medicare fee schedule),S=Non-covered by Medicare statute,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A1,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0130,"Walker, rigid (pickup), adjustable or fixed height",,,FALSE,C0438860,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0130-E0155,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9150,"Injection, daunorubicin, 10 mg",,,FALSE,C0520155,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1285,"Heavy duty wheelchair, fixed full length arms, swing away detachable footrest",,,FALSE,C0498620,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1280-E1298,N=No maintenance for this code,20010401,0,D1D=Wheelchairs,I=Not payable by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,K0006,,http://purl.bioontology.org/ontology/HCPCS/K0006,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9072,"Injection, cyclophosphamide (avyxa), 5 mg",,,FALSE,C5974284,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20250101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20240101,,,A=Not applicable as HCPCS priced under one methodology,2049,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/T2039,"Vehicle modifications, waiver; per service",,,FALSE,C1314639,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J7180,"Injection, factor xiii (antihemophilic factor, human), 1 i.u.",,,FALSE,C3248650,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7307,"Etonogestrel (contraceptive) implant system, including implant and supplies",,,FALSE,C1741959,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7294-J7307,N=No maintenance for this code,20080101,0,Z2=Undefined codes,I=Not payable by Medicare,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C9301,"Obecabtagene autoleucel, up to 410 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose",,,FALSE,C5979711,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,D=Special coverage instructions apply,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9774,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed",,,FALSE,C5439661,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20210101,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20210101,,,A=Not applicable as HCPCS priced under one methodology,,20210101,,YY,53=Statute,,1833(T),2=Surgery|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C8922,"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; follow-up or limited study",,,FALSE,C1971557,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8921-C8930,N=No maintenance for this code,20090101,0,I3C=Echography/ultrasonography - heart,D=Special coverage instructions apply,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/L8679,"Implantable neurostimulator, pulse generator, any type",,,FALSE,C3710547,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8678-L8689,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20140101,65-8,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G4012,Interventional radiology mips specialty set,,,FALSE,C5574515,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S3645,Hiv-1 antibody testing of oral mucosal transudate,,,FALSE,C0812822,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/J2246,"Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg",,,FALSE,C5974253,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/H0010,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient),,,FALSE,C0919046,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A9536,"Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries",,,FALSE,C1619355,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/A6511,"Compression burn garment, lower trunk including leg openings (panty), custom fabricated",,,FALSE,C1144981,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8699,"Prosthetic implant, not otherwise specified",,,FALSE,C0520231,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8690-L9900,N=No maintenance for this code,19980101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19980101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C2628,"Catheter, occlusion",,,FALSE,C0179777,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2617-C2631,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1453,"Injection, fosaprepitant, 1 mg",,,FALSE,C2368481,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20220101,0,O1E=Other drugs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2440,"Injection, papaverine hcl, up to 60 mg",,,FALSE,C0498950,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S3844,"Dna analysis of the connexin 26 gene (gjb2) for susceptibility to congenital, profound deafness",,,FALSE,C1314540,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S3800-S3870,N=No maintenance for this code,20030701,0,Z2=Undefined codes,I=Not payable by Medicare,20030701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/A6224,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",,,FALSE,C0520185,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0200-E0239,Heat/Cold Application Equipment,,,FALSE,C2729472,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5726,"Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control",,,FALSE,C0499947,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5710-L5780,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1576,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg",,,FALSE,C5884051,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230701,0,O1E=Other drugs,D=Special coverage instructions apply,20230701,,,A=Not applicable as HCPCS priced under one methodology,2049,20230701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4306,"American amnion ac, per square centimeter",,,FALSE,C5974383,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J2357,"Injection, omalizumab, 5 mg",,,FALSE,C1508865,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20050101,0,O1E=Other drugs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6660,"Upper extremity addition, heavy duty control cable",,,FALSE,C0500045,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7518,"Mycophenolic acid, oral, 180 mg",,,FALSE,C1508867,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20050101,0,O1E=Other drugs,D=Special coverage instructions apply,20050101,,,A=Not applicable as HCPCS priced under one methodology,2050.5|4471|5249,,,,51=Drugs,,,G=Immunosuppressive drugs|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7203,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu",,,FALSE,C4746417,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20190101,0,O1E=Other drugs,D=Special coverage instructions apply,20190101,,,A=Not applicable as HCPCS priced under one methodology,2049,20190101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1332,Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 2 weeks,,,FALSE,C5884196,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5051-A5093,Additional Ostomy Supplies,,,FALSE,C0812886,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,Oral Anti-Cancer Drugs,,,FALSE,C4316305,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J0100-J8999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/H0019,"Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem",,,FALSE,C0919055,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V5070,"Glasses, air conduction",,,FALSE,C0500434,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5070-V5110,N=No maintenance for this code,19950101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L3440,"Heel, counter, leather reinforced",,,FALSE,C0499703,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3430-L3485,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A2033,"Myriad morcells, 4 milligrams",,,FALSE,C5979695,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,A=Add procedure or modifier code,20250401,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/C9758,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee)/intracardiac echocardiography (ice), and all imaging with or without guidance (e.g., ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study",,,FALSE,C5229021,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20200701,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9255,"Injection, methotrexate (accord), not therapeutically equivalent to j9260, 50 mg",,,FALSE,C5884096,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240401,0,O1E=Other drugs,D=Special coverage instructions apply,20240101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3927,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf",,,FALSE,C3710535,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L7700,"Gasket or seal, for use with prosthetic socket insert, any type, each",,,FALSE,C4542799,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7700-L7700,N=No maintenance for this code,20180101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1212,"Glycemic status assessment (hba1c or gmi) level is missing, or was not performed during the measurement period",,,FALSE,C5974310,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J3305,"Injection, trimetrexate glucuronate, per 25 mg",,,FALSE,C0499017,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19960101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5246,"Hearing aid, digitally programmable analog, monaural, ite (in the ear)",,,FALSE,C0994295,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0517,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)",,,FALSE,C4542709,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0516-G0518,N=No maintenance for this code,20180101,0,P6C=Minor procedures - other (Medicare fee schedule),C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/B4168,"Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - home mix",,,FALSE,C0497987,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4164-B5200,N=No maintenance for this code,20020101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19840101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/J9161,"Injection, denileukin diftitox-cxdl, 1 mcg",,,FALSE,C5979741,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,A=Add procedure or modifier code,20250401,0,O1D=Chemotherapy,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0155,"Sterile dilutant for epoprostenol, 50 ml",,,FALSE,C0994053,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",,,FALSE,C1738566,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4162,"Woundex flow, bioskin flow, 0.5 cc",,,FALSE,C4542805,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A9276,"Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply",,,FALSE,C1971396,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20230101,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8514,"Tracheoesophageal puncture dilator, replacement only, each",,,FALSE,C1314475,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8500-L8515,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9550,"Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie",,,FALSE,C1616803,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/C1733,"Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector mapping, other than cool-tip",,,FALSE,C0993743,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1821,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf",,,FALSE,C5974300,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,N=No maintenance for this code,20241001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2617,"Custom fabricated wheelchair back cushion, any size, including any type mounting hardware",,,FALSE,C1508941,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2601-E2621,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7504,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusive of all imaging guidance",,,FALSE,C5771519,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P3D=Major procedure - orthopedic - other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L0651,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf",,,FALSE,C3710495,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0643-L0651,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S8420,"Gradient pressure aid (sleeve and glove combination), custom made",,,FALSE,C0994180,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1830,Powered bone marrow biopsy needle,,,FALSE,C3248387,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20140101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20111001,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6236,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",,,FALSE,C0520045,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0894,"Injection, decitabine, 1 mg",,,FALSE,C1738018,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230101,0,O1E=Other drugs,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0630,"Injection, calcitonin salmon, up to 400 units",,,FALSE,C0498787,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,20130101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",,,FALSE,C1144917,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9353,"Injection, margetuximab-cmkb, 5 mg",,,FALSE,C5574573,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20210701,0,O1D=Chemotherapy,C=Carrier judgment,20210701,,,A=Not applicable as HCPCS priced under one methodology,,20210701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6457,"Tubular dressing with or without elastic, any width, per linear yard",,,FALSE,C1314453,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6413-A6461,N=No maintenance for this code,20060101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7604,"Acetylcysteine, inhalation solution, compounded product, administered through dme, unit dose form, per gram",,,FALSE,C1971355,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20080101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4561,"Pessary, reusable, rubber, any type",,,FALSE,C5974082,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20240401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0981,"Wheelchair accessory, seat upholstery, replacement only, each",,,FALSE,C1314310,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4184,"Cellesta or cellesta duo, per square centimeter",,,FALSE,C5229196,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9147-G9147,Outpatient IV Insulin Treatment,,,FALSE,C4542607,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0143,"Walker, folding, wheeled, adjustable or fixed height",,,FALSE,C0498361,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0130-E0155,N=No maintenance for this code,20040101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0220,"Thoracic, rib belt, custom fabricated",,,FALSE,C0499403,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0220-L0220,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J3299,"Injection, triamcinolone acetonide (xipere), 1 mg",,,FALSE,C5771634,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20220701,0,O1E=Other drugs,C=Carrier judgment,20220701,,,A=Not applicable as HCPCS priced under one methodology,,20220701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9270,Non-covered item or service,,,FALSE,C0520080,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20020101,0,Z2=Undefined codes,M=Non-covered by Medicare,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2303,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0106=FOR MEDICARE CLAIMS - CODE A9270 ONLY FOR USE ON BILLS SUBMITTED BY DMEPOS SUPPLIERS.,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J7355,"Injection, travoprost, intracameral implant, 1 microgram",,,FALSE,C5974275,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7330-J7402,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,20240701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4673,"Extension line with easy lock connectors, used with dialysis",,,FALSE,C1314240,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q5127,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg",,,FALSE,C5884272,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20230401,0,O1E=Other drugs,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,20230401,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0874,"Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg",,,FALSE,C5884042,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20231001,0,O1E=Other drugs,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5010,Assessment for hearing aid,,,FALSE,C0500426,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5008-V5020,N=No maintenance for this code,19950101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",,,FALSE,C2729174,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20100101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19930101,60-4,,A=Not applicable as HCPCS priced under one methodology,4107.9,,,,33=Oxygen and oxygen equipment (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2522,"Contact lens, hydrophilic, bifocal, per lens",,,FALSE,C0500392,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2500-V2599,N=No maintenance for this code,19850101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,45-7|65-1,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C9360,"Dermal substitute, native, non-denatured collagen, neonatal bovine origin (surgimend collagen matrix), per 0.5 square centimeters",,,FALSE,C2729467,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20140101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20090701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,621MMA,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0842,"Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds",,,FALSE,C1738568,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0638,"Injection, canakinumab, 1 mg",,,FALSE,C2959235,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20110101,0,O1E=Other drugs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,20110101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9054,"Injection, bortezomib (boruzu), 0.1 mg",,,FALSE,C5979739,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,A=Add procedure or modifier code,20250401,0,O1D=Chemotherapy,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9057,Oncology; practice guidelines; management differs from guidelines as a result of patient enrollment in an institutional review board approved clinical trial (for use in a medicare-approved demonstration project),,,FALSE,C1619383,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A5505,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe",,,FALSE,C0520237,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5500-A5514,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2134,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,J=Diabetic shoes (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1070,"Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest",,,FALSE,C0498576,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1050-E1070,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",,,FALSE,C0499374,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7686,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg",,,FALSE,C2959267,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20110101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8656,"Residual score for the lower leg, foot or ankle impairment successfully calculated and the score was less than zero (< 0)",,,FALSE,C4746330,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5971,"All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only",,,FALSE,C1618896,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4558,"Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz",,,FALSE,C0497867,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20070101,0,D1E=Other DME,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4706,"Bicarbonate concentrate, solution, for hemodialysis, per gallon",,,FALSE,C0993682,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2086,"Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month",,,FALSE,C5229075,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,M5D=Specialist - other,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S2207,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using venous graft only, single coronary venous graft",,,FALSE,C0812815,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1088,"High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests",,,FALSE,C0498582,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1087-E1090,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7527,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report",,,FALSE,C5771541,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P2F=Major procedure - cardiovascular - Other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G2107,Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period,,,FALSE,C5203718,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V2531,"Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325)",,,FALSE,C0500395,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2500-V2599,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19960101,65-3,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L2182,"Addition to lower extremity fracture orthosis, drop lock knee joint",,,FALSE,C2014812,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2180-L2192,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0169,"Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",,,FALSE,C0694994,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0138-Q0249,N=No maintenance for this code,19980401,0,O1D=Chemotherapy,D=Special coverage instructions apply,19980401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,4557,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2106-L2136,Fracture Orthotics: Ankle-Foot and Knee-Ankle-Foot,,,FALSE,C5228962,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1600-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H0007,Alcohol and/or drug services; crisis intervention (outpatient),,,FALSE,C0919043,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9968,Patient was referred to another clinician or specialist during the measurement period,,,FALSE,C4542786,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L2750,"Addition to lower extremity orthosis, plating chrome or nickel, per bar",,,FALSE,C0499623,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2750-L2999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S1037,"Receiver (monitor); external, for use with artificial pancreas device system",,,FALSE,C3871404,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20140701,0,Z2=Undefined codes,I=Not payable by Medicare,20140701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T4529,"Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each",,,FALSE,C1509111,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20050101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0277,Powered pressure-reducing air mattress,,,FALSE,C0520106,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19980101,0,D1E=Other DME,D=Special coverage instructions apply,19920101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4565,Slings,,,FALSE,C0183346,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,19830101,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0896,"Injection, luspatercept-aamt, 0.25 mg",,,FALSE,C5439737,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20200701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0559,"Post-operative follow-up visit complexity inherent to evaluation and management services addressing surgical procedure(s), provided by a physician or qualified health care professional who is not the practitioner who performed the procedure (or in the same group practice) and is of the same or of a different specialty than the practitioner who performed the procedure, within the 90-day global period of the procedure(s), once per 90-day global period, when there has not been a formal transfer of care and requires the following required elements, when possible and applicable: reading available surgical note to understand the relative success of the procedure, the anatomy that was affected, and potential complications that could have arisen due to the unique circumstances of the patient's operation. research the procedure to determine expected post-operative course and potential complications (in the case of doing a post-op for a procedure outside the specialty). evaluate and physically examine the patient to determine whether the post-operative course is progressing appropriately. communicate with the practitioner who performed the procedure if any questions or concerns arise. (list separately in addition to office/outpatient evaluation and management visit, new or established)",,,FALSE,C5974192,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J1095,"Injection, dexamethasone 9 percent, intraocular, 1 microgram",,,FALSE,C4746405,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230101,0,O1E=Other drugs,D=Special coverage instructions apply,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833T,F=Ambulatory surgical center (facility usage for surgical services)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1003,Tb screening performed and results interpreted within twelve months prior to initiation of first-time biologic and/or immune response modifier therapy,,,FALSE,C4722498,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J2323,"Injection, natalizumab, 1 mg",,,FALSE,C1617873,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20080101,0,O1E=Other drugs,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A7027,"Combination oral/nasal mask, used with continuous positive airway pressure device, each",,,FALSE,C1971391,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20080101,0,D1E=Other DME,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0118,"Crutch substitute, lower leg platform, with or without wheels, each",,,FALSE,C1314290,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0110-E0118,N=No maintenance for this code,20040401,0,D1E=Other DME,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1008,"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction",,,FALSE,C1314322,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0247,"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails",,,FALSE,C1145122,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20030701,0,M1B=Office visits - established,D=Special coverage instructions apply,20020701,50.81,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4340,"Simpligraft, per square centimeter",,,FALSE,C5974417,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20241001,0,O1E=Other drugs,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J0694,"Injection, cefoxitin sodium, 1 gm",,,FALSE,C0498793,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19920101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",Q0090,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L0170,"Cervical, collar, molded to patient model",,,FALSE,C0499396,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0112-L0174,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9757,Surgical procedures that included the use of silicone oil,,,FALSE,C5551267,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4037,"Cast supplies, short leg cast, adult (11 years +), plaster",,,FALSE,C0994032,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4189,"Artacent ac, 1 mg",,,FALSE,C4746485,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A0190,Non-emergency transportation: ancillary: meals-recipient,,,FALSE,C0497724,http://purl.bioontology.org/ontology/STY/T057,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,19840101,0,O1A=Ambulance,I=Not payable by Medicare,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T057
http://purl.bioontology.org/ontology/HCPCS/E0302,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress",,,FALSE,C1314298,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,20040101,0,D1B=Hospital beds,D=Special coverage instructions apply,20040101,60-18,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2060,"Injection, lorazepam, 2 mg",,,FALSE,C0498924,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/P9026,"Cryoprecipitated fibrinogen complex, pathogen reduced, each unit",,,FALSE,C5574629,http://purl.bioontology.org/ontology/STY/T031,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20211001,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,20211001,,,A=Not applicable as HCPCS priced under one methodology,2455B,,,,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T031
http://purl.bioontology.org/ontology/HCPCS/Q4165,"Keramatrix or kerasorb, per square centimeter",,,FALSE,C5229195,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A5062,"Ostomy pouch, drainable; without barrier attached (1 piece), each",,,FALSE,C0497944,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5051-A5093,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2115,"Lenticular, (myodisc), per lens, single vision",,,FALSE,C0500330,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2100-V2199,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7318-J7329,Hyaluronan,,,FALSE,C0020196,http://purl.bioontology.org/ontology/STY/T109|http://purl.bioontology.org/ontology/STY/T121|http://purl.bioontology.org/ontology/STY/T123,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J0100-J8999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T109|http://purl.bioontology.org/ontology/STY/T121|http://purl.bioontology.org/ontology/STY/T123
http://purl.bioontology.org/ontology/HCPCS/S5014,"5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1500 ml",,,FALSE,C0919196,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4990-S5014,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5690,"Addition to lower extremity, below knee, waist belt, padded and lined",,,FALSE,C0499924,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4241,"Polycyte, for topical use only, per 0.5 cc",,,FALSE,C5439785,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G8428,"Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given",,,FALSE,C2959139,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20170101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9862,"Documentation of medical reason(s) for not recommending at least a 10 year follow-up interval (e.g., inadequate prep, familial or personal history of colonic polyps, patient had no adenoma and age is = 66 years old, or life expectancy < 10 years old, other medical reasons)",,,FALSE,C4316104,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A9284,"Spirometer, non-electronic, includes all accessories",,,FALSE,C2368651,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20090101,0,Z2=Undefined codes,D=Special coverage instructions apply,20090101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0156=1833(+)(2)(B) OF THE ACT; CY 2008 OPPS/ASC FINAL RULE (DATED NOVEMBER 22, 2007), P. 66611.",,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3806,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment",,,FALSE,C1741955,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3806-L3904,N=No maintenance for this code,20080101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",,,FALSE,C0499299,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20000101,0,D1E=Other DME,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8542,"Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required",,,FALSE,C2368476,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20140101,0,M5D=Specialist - other,C=Carrier judgment,20090101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L3213,"Benesch boot, pair, child",,,FALSE,C0499665,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2079,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7070,"Infusion, d5w, 1000 cc",,,FALSE,C0499051,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2004,"Injection, lidocaine hcl with epinephrine, 1 mg",,,FALSE,C5974251,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20241001,0,O1E=Other drugs,D=Special coverage instructions apply,20241001,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3216,"Orthopedic footwear, ladies shoe, depth inlay, each",,,FALSE,C0499668,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,S=Non-covered by Medicare statute,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A8,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2610,Single lens spectacle mounted low vision aids,,,FALSE,C0500398,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2600-V2615,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0138,"Injection, acetaminophen 10 mg and ibuprofen 3 mg",,,FALSE,C5974212,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L8320,"Truss, addition to standard pad, water pad",,,FALSE,C0500167,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8300-L8330,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,70-2|70-1,,A=Not applicable as HCPCS priced under one methodology,2133,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8622,"Alkaline battery for use with cochlear implant device, any size, replacement, each",,,FALSE,C1509075,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8608-L8629,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/E0248,"Transfer bench, heavy duty, for tub or toilet with or without commode opening",,,FALSE,C1314295,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0240-E0248,N=No maintenance for this code,20040101,0,D1E=Other DME,D=Special coverage instructions apply,20040101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P9603,Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled,,,FALSE,C0500251,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9603-P9604,N=No maintenance for this code,19920101,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,19870101,,,A=Not applicable as HCPCS priced under one methodology,51141K,,,,"22=Price established by carriers (e.g., gap-fills, carrier established panels)","0039=SEE MEDICARE INTERMEDIARY MANUAL, PART 3 CLAIMS PROCESS SECTION 3628.F FOR PAYMENT GUIDELINES (P9610, P9615, G0001).",,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A9564,"Chromic phosphate p-32 suspension, therapeutic, per millicurie",,,FALSE,C1619416,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/S8430,"Padding for compression bandage, roll",,,FALSE,C0994190,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1632,"Injection, brexanolone, 1 mg",,,FALSE,C5439742,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20201001,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2021,"Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg",,,FALSE,C5771621,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5497-S5523,Home Infusion Therapy,,,FALSE,C0242945,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20S0000-S9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1833,"Monitor, cardiac, including intracardiac lead and all system components (implantable)",,,FALSE,C5574438,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20220101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20220101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),F=Ambulatory surgical center (facility usage for surgical services)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1324,"Patients who had an intravitreal or periocular corticosteroid injection (e.g., triamcinolone, preservative-free triamcinolone, dexamethasone, dexamethasone intravitreal implant, or fluocinolone intravitreal implant)",,,FALSE,C5884189,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1274,Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that month,,,FALSE,C5884179,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J9355,"Injection, trastuzumab, excludes biosimilar, 10 mg",,,FALSE,C5229177,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20190701,0,O1E=Other drugs,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9594,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie",,,FALSE,C5574434,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20210701,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/G9092,"Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t1-3, n1-2, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1618368,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/P2038,"Mucoprotein, blood (seromucoid) (medical necessity procedure)",,,FALSE,C0500234,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P2028-P2038,N=No maintenance for this code,19930101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,50-34,,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/L3760,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C0919098,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3702-L3766,N=No maintenance for this code,20180101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1882,"Cardioverter-defibrillator, other than single or dual chamber (implantable)",,,FALSE,C0993786,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9250,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml",,,FALSE,C2729461,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20170101,0,O1E=Other drugs,D=Special coverage instructions apply,20090701,,,A=Not applicable as HCPCS priced under one methodology,,20170101,,YY,53=Statute,,621MMA,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0117,"Tretinoin, topical, 5 grams",,,FALSE,C1509077,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20040701,0,Z2=Undefined codes,I=Not payable by Medicare,20040701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0445,"High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes",,,FALSE,C3248416,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0438-G0451,N=No maintenance for this code,20111108,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20111108,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0282,"Electrical stimulation, (unattended), to one or more areas, for wound care other than described in g0281",,,FALSE,C1145154,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20030401,0,P5E=Ambulatory procedures - other,M=Non-covered by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),35-98,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,U=Occupational therapy|W=Physical therapy|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1210,"At least two orders for high-risk medications from the same drug class, (table 4), not ordered",,,FALSE,C5702962,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J0179,"Injection, brolucizumab-dbll, 1 mg",,,FALSE,C5229153,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20200101,0,O1E=Other drugs,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,20200101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9157,"Transesophageal doppler measurement of cardiac output (including probe placement, image acquisition, and interpretation per course of treatment) for monitoring purposes",,,FALSE,C3534706,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9157-G9157,N=No maintenance for this code,20130101,0,T2C=Other tests - EKG monitoring,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/J2800,"Injection, methocarbamol, up to 10 ml",,,FALSE,C0498981,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L1700,"Legg perthes orthosis, (toronto type), custom fabricated",,,FALSE,C0499494,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1700-L1755,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9226,"Histrelin implant (supprelin la), 50 mg",,,FALSE,C1971359,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20080101,,,A=Not applicable as HCPCS priced under one methodology,2049,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q5008,Hospice care provided in inpatient psychiatric facility,,,FALSE,C1738576,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5001-Q5010,N=No maintenance for this code,20070101,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0133=SEE ONLINE MANUAL 100-02.9.,,1=Medical care|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C9781,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenodesis when performed",,,FALSE,C5771575,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20220401,0,P8A=Endoscopy - arthroscopy,D=Special coverage instructions apply,20220401,,,A=Not applicable as HCPCS priced under one methodology,,20220401,,YY,53=Statute,,1833(t),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2022,"A model participant (ambulance supplier/provider), the beneficiary refuses services covered under the model (transport to an alternate destination/treatment in place)",,,FALSE,C5229050,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,M5D=Specialist - other,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3150,"Foot, abduction rotation bar, without shoes",,,FALSE,C0499652,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3140-L3170,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4860,"Disposable catheter tips for peritoneal dialysis, per 10",,,FALSE,C0497922,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q2039,"Influenza virus vaccine, not otherwise specified",,,FALSE,C0021403,http://purl.bioontology.org/ontology/STY/T129|http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,N=No maintenance for this code,20170101,0,O1G=Immunizations/Vaccinations,D=Special coverage instructions apply,20110101,,,A=Not applicable as HCPCS priced under one methodology,2049.4,,,,54=Vaccinations,,,"V=Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95",,,,http://purl.bioontology.org/ontology/STY/T129|http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/H0012,Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient),,,FALSE,C0919048,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0305,"Bed side rails, half length",,,FALSE,C0498433,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19900101,0,D1B=Hospital beds,D=Special coverage instructions apply,19860101,60-18,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2077,"Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical and psychiatric treatment needs and goals; assessment may be informed by administration of a standardized, evidence-based social determinants of health risk assessment to identify unmet health-related social needs, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code",,,FALSE,C5229068,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L3360,"Sole wedge, outside sole",,,FALSE,C0499695,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3340-L3420,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2999,"Lower extremity orthoses, not otherwise specified",,,FALSE,C0520223,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2750-L2999,N=No maintenance for this code,19980101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C5278,"Application of low cost 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)",,,FALSE,C3684528,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20140101,0,P5A=Ambulatory procedures - skin,D=Special coverage instructions apply,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),2=Surgery|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5100,"Below knee, molded socket, shin, sach foot",,,FALSE,C0499828,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5100-L5105,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1118,"Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record",,,FALSE,C5203704,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/H2000,Comprehensive multidisciplinary evaluation,,,FALSE,C1145184,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S3845,Genetic testing for alpha-thalassemia,,,FALSE,C1314541,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S3800-S3870,N=No maintenance for this code,20030701,0,Z2=Undefined codes,I=Not payable by Medicare,20030701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/G9087,"Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive with current clinical, radiologic, or biochemical evidence of disease (for use in a medicare-approved demonstration project)",,,FALSE,C1616833,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C8000,"Support device, extravascular, for arteriovenous fistula (implantable)",,,FALSE,C5974102,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20250101,0,P1G=Major procedure - other,D=Special coverage instructions apply,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9119,"Injection, cemiplimab-rwlc, 1 mg",,,FALSE,C5229008,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20191001,0,O1D=Chemotherapy,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,20191001,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5130,"Binaural, in the ear",,,FALSE,C0500440,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,19950101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L0482,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated",,,FALSE,C1145268,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G6006,"Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 20 mev or greater",,,FALSE,C0373370,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G6003-G6017,N=No maintenance for this code,20150101,0,P7A=Oncology - radiation therapy,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1195,"Surgical pathology reports that do not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both, reason not given",,,FALSE,C5771700,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/K0733,"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)",,,FALSE,C1739986,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0669-K0746,N=No maintenance for this code,20060701,0,D1D=Wheelchairs,C=Carrier judgment,20060701,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9208,"Home management of preterm labor, including administrative services, professional pharmacy services, care coordination, and all necessary supplies or equipment (drugs and nursing visits coded separately), per diem (do not use this code with any home infusion per diem code)",,,FALSE,C0994201,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9208-S9214,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1812,"Dynamic knee, extension/flexion device with active resistance control",,,FALSE,C1617828,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20060101,0,D1E=Other DME,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S2120,Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation,,,FALSE,C0919175,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1190,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests",,,FALSE,C0498598,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1170-E1200,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q5146,"Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg",,,FALSE,C5974444,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1902-E2120,Durable Medical Equipment - Miscellaneous,,,FALSE,C0498642,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/B4103,"Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit",,,FALSE,C1508841,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4100-B4162,N=No maintenance for this code,20050101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,20050101,65-10,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/C1821,Interspinous process distraction device (implantable),,,FALSE,C1736928,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20070101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4044,"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass",,,FALSE,C0994039,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T4525,"Adult sized disposable incontinence product, protective underwear/pull-on, small size, each",,,FALSE,C1509107,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20050101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9211,"Injection, idarubicin hydrochloride, 5 mg",,,FALSE,C0499135,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20190101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19930101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20E0100-E9999,E codes,,,FALSE,C3710258,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/MTHU000323,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/T2001,Non-emergency transportation; patient attendant/escort,,,FALSE,C1145377,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V5011,Fitting/orientation/checking of hearing aid,,,FALSE,C0500427,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5008-V5020,N=No maintenance for this code,19950101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19900101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9125,"Respite care, in the home, per diem",,,FALSE,C0812849,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9712,"Documentation of medical reason(s) for prescribing or dispensing antibiotic (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis/ mastoiditis/bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia, gonococcal infections/venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis/uti, acne, hiv disease/asymptomatic hiv, cystic fibrosis, disorders of the immune system, malignancy neoplasms, chronic bronchitis, emphysema, bronchiectasis, extrinsic allergic alveolitis, chronic airway obstruction, chronic obstructive asthma, pneumoconiosis and other lung disease due to external agents, other diseases of the respiratory system, and tuberculosis",,,FALSE,C4316220,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L8721,"Receptor sole for use with l8720, replacement, each",,,FALSE,C5974304,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8690-L9900,N=No maintenance for this code,20241001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2760,"Scratch resistant coating, per lens",,,FALSE,C0500420,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S4042,"Management of ovulation induction (interpretation of diagnostic tests and studies, non-face-to-face medical management of the patient), per cycle",,,FALSE,C1509096,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20050101,0,Z2=Undefined codes,I=Not payable by Medicare,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2260,"Injection, milrinone lactate, 5 mg",,,FALSE,C0498934,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8560,Patient has a history of active drainage from the ear within the previous 90 days,,,FALSE,C2729202,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20100101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5785-L5795,Prosthetic Procedures - Lower Limb - Component Modification,,,FALSE,C5228976,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L8689,"External recharging system for battery (internal) for use with implantable neurostimulator, replacement only",,,FALSE,C1617869,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8678-L8689,N=No maintenance for this code,20090101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20060101,65-8,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L8606,"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies",,,FALSE,C0919110,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8603-L8607,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20010101,65.9,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/B4104,"Additive for enteral formula (e.g., fiber)",,,FALSE,C1508842,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4100-B4162,N=No maintenance for this code,20050101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,20050101,65-10,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/E1037,"Transport chair, pediatric size",,,FALSE,C1145108,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1031-E1039,N=No maintenance for this code,20030101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20030101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0600,"Injection, edetate calcium disodium, up to 1000 mg",,,FALSE,C0498784,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/KR,"Rental item, billing for partial month",,,FALSE,C0993661,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020101,,,C=Carrier judgment,20020101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/KO,Single drug unit dose formulation,,,FALSE,C0520016,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970401,,,C=Carrier judgment,19970401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/KI,"Dmepos item, second or third month rental",,,FALSE,C0497639,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19940101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/KF,Item designated by fda as class iii device,,,FALSE,C1508832,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20040401,,,C=Carrier judgment,20040401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K4,"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.",,,FALSE,C0497630,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19930101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/KG,Dmepos item subject to dmepos competitive bidding program number 1,,,FALSE,C1971581,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20070701,,,C=Carrier judgment,20070701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/KX,Requirements specified in the medical policy have been met,,,FALSE,C1144875,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,C=Carrier judgment,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K2,"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.",,,FALSE,C0497628,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19930101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/KZ,New coverage not implemented by managed care,,,FALSE,C1314201,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20031001,,,C=Carrier judgment,20031001,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/KJ,"Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen",,,FALSE,C0497640,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19940101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/KB,"Beneficiary requested upgrade for abn, more than 4 modifiers identified on claim",,,FALSE,C1144874,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,C=Carrier judgment,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/KL,Dmepos item delivered via mail,,,FALSE,C1971583,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20090101,,,C=Carrier judgment,20070701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/KC,Replacement of special power wheelchair interface,,,FALSE,C1508830,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20050101,,,C=Carrier judgment,20050101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/KT,Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item,,,FALSE,C1971584,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20080401,,,C=Carrier judgment,20070701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/KE,Bid under round one of the dmepos competitive bidding program for use with non-competitive bid base equipment,,,FALSE,C2368524,http://purl.bioontology.org/ontology/STY/T169,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20090101,,,C=Carrier judgment,20090101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T169
http://purl.bioontology.org/ontology/HCPCS/KD,Drug or biological infused through dme,,,FALSE,C1508831,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20040101,,,C=Carrier judgment,20040101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/KW,Dmepos item subject to dmepos competitive bidding program number 4,,,FALSE,C1971587,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20080101,,,C=Carrier judgment,20080101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/KU,Dmepos item subject to dmepos competitive bidding program number 3,,,FALSE,C1971585,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20070701,,,C=Carrier judgment,20070701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/KA,Add on option/accessory for wheelchair,,,FALSE,C0497631,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19940101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/KK,Dmepos item subject to dmepos competitive bidding program number 2,,,FALSE,C1971582,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20070701,,,C=Carrier judgment,20070701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/KS,Glucose monitor supply for diabetic beneficiary not treated with insulin,,,FALSE,C0694916,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19981001,,,D=Special coverage instructions apply,19981001,,,,,,,,,"0074=PER BBA 1997, SECTION 44105, EXPANDED COVERAGE OF SUPPLIES FOR DIABETIC BENEFICIARIES.",,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K1,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.,,,FALSE,C0497627,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19930101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/KN,Replacement of facial prosthesis using previous master model,,,FALSE,C0497644,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20010101,,,C=Carrier judgment,19960101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/K3,"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.",,,FALSE,C0497629,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19930101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/K0,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.,,,FALSE,C0497626,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,C=Carrier judgment,19930101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/KP,First drug of a multiple drug unit dose formulation,,,FALSE,C0520017,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970401,,,C=Carrier judgment,19970401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/KH,"Dmepos item, initial claim, purchase or first month rental",,,FALSE,C0497638,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19940101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/KV,Dmepos item subject to dmepos competitive bidding program that is furnished as part of a professional service,,,FALSE,C1971586,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20080101,,,C=Carrier judgment,20080101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/KQ,Second or subsequent drug of a multiple drug unit dose formulation,,,FALSE,C0520018,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970401,,,C=Carrier judgment,19970401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/KM,Replacement of facial prosthesis including new impression/moulage,,,FALSE,C0497643,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20010101,,,C=Carrier judgment,19960101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/KY,Dmepos item subject to dmepos competitive bidding program number 5,,,FALSE,C1971588,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20080101,,,C=Carrier judgment,20080101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0404,"Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination",,,FALSE,C1509000,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0403-G0405,N=No maintenance for this code,20090101,0,T2C=Other tests - EKG monitoring,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,"0153=PURSUANT TO SECTION 101 (B) OF THE MEDICARE IMPROVEMENT FOR PATIENTS AND PROVIDERS ACT OF 2008 (MIPPA) EFFECTIVE JANUARY 1, 2009, WE EXPANDED COVERAGE FOR THE WELCOME TO MEDICARE BENEFIT; IT IS SUBJECT TO CERTAIN ELIGIBILITY AND OTHER LIMITATIONS THAT ALLOW PAYMENT FOR AN INITIAL PREVENTIVE PHYSICAL EXAMINATION (IPPE), NOT LATER THAN 12 MONTHS AFTER THE DATE THE INDIVIDUAL'S FIRST COVERAGE PERIOD BEGINS UNDER MEDICARE PART B.",,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/M1027,Imaging of the head (ct or mri) was obtained,,,FALSE,C4746447,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9720,Hospice services for patient occurred any time during the measurement period,,,FALSE,C4316217,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1165,Patients who use hospice services any time during the measurement period,,,FALSE,C5703344,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1191,Hospice services provided to patient any time during the measurement period,,,FALSE,C5703406,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1045,"Functional status measured by the oxford knee score (oks) at one year (9 to 15 months) postoperatively was greater than or equal to 37 or knee injury and osteoarthritis outcome score joint replacement (koos, jr.) was greater than or equal to 71",,,FALSE,C5203717,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/T2026,"Specialized childcare, waiver; per diem",,,FALSE,C1314626,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L1060,"Addition to ctlso or scoliosis orthosis, thoracic pad",,,FALSE,C0499461,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1000-L1120,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard",,,FALSE,C0520074,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9831,Ajcc stage at breast cancer diagnosis = ii or iii,,,FALSE,C4316128,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J7193,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.",,,FALSE,C0994330,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20020101,0,O1E=Other drugs,D=Special coverage instructions apply,20020101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5251,"Hearing aid, digitally programmable analog, binaural, itc",,,FALSE,C0994300,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4481,"Tracheostoma filter, any type, any size, each",,,FALSE,C0497860,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/B9002,"Enteral nutrition infusion pump, any type",,,FALSE,C0498006,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B9002-B9999,N=No maintenance for this code,20170101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19880101,65-10,,A=Not applicable as HCPCS priced under one methodology,2130|4450,,,,39=Parenteral and enteral nutrition,,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S5035,"Home infusion therapy, routine service of infusion device (e.g., pump maintenance)",,,FALSE,C0994150,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1836,"Injection, metronidazole, 10 mg",,,FALSE,C5884059,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/R0076,"Transportation of portable ekg to facility or location, per patient",,,FALSE,C0500312,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20R0070-R0076,N=No maintenance for this code,19980101,0,I1F=Standard imaging - other,D=Special coverage instructions apply,19840101,50-15,,A=Not applicable as HCPCS priced under one methodology,2070.4|2070.1,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)","0061=IN 1997, PAYMENT FOR R0076 IS BUNDLED INTO THE PAYMENT FOR THE REPORTED EKG SERVICE. IN 1998, PER BALANCED BUDGET ACT OF 1997, SEPARATE PAYMENT FOR R0076 IS MANDATED.",,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L6580,"Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, molded to patient model",,,FALSE,C0500019,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6580-L6590,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6404,"Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",,,FALSE,C0520077,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1291,Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period,,,FALSE,C5849225,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A9531,"Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)",,,FALSE,C1314273,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A4436,"Irrigation supply; sleeve, reusable, per month",,,FALSE,C5574430,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20220101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20220101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9917,Documentation of advanced stage dementia and caregiver knowledge is limited,,,FALSE,C5229150,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,CMS Hospital Outpatient payment System - Devices,,,FALSE,C4542556,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20C1000-C9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/A4628,"Oral and/or oropharyngeal suction catheter, each",,,FALSE,C0520173,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4611-A4629,N=No maintenance for this code,20230401,0,D1E=Other DME,C=Carrier judgment,19960101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q9002,"Counseling, individual, by chaplain services",,,FALSE,C5771725,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9001-Q9004,N=No maintenance for this code,20221001,0,Z2=Undefined codes,C=Carrier judgment,20201001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,99=Value not established,,,3=Consultation,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C5277,"Application of low cost 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",,,FALSE,C3684880,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20140101,0,P5A=Ambulatory procedures - skin,D=Special coverage instructions apply,20140101,,,A=Not applicable as HCPCS priced under one methodology,,20140101,,YY,53=Statute,,1833(t),F=Ambulatory surgical center (facility usage for surgical services)|2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5666,"Addition to lower extremity, below knee, cuff suspension",,,FALSE,C0499908,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/H0001,Alcohol and/or drug assessment,,,FALSE,C0919037,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4353,"Intermittent urinary catheter, with insertion supplies",,,FALSE,C0497835,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1352,"Oxygen accessory, flow regulator capable of positive inspiratory pressure",,,FALSE,C3710284,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1352-E1406,N=No maintenance for this code,20140101,0,D1C=Oxygen and supplies,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q2053,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose",,,FALSE,C5551186,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,N=No maintenance for this code,20210401,0,O1E=Other drugs,C=Carrier judgment,20210401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L0460,"Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710476,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9898,"Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period",,,FALSE,C5203731,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L2108,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated",,,FALSE,C0499550,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2106-L2136,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9245,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg",,,FALSE,C0499143,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20200701,0,O1D=Chemotherapy,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J3425,"Injection, hydroxocobalamin, intramuscular, 10 mcg",,,FALSE,C5974273,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,D=Special coverage instructions apply,20240101,45-4,,A=Not applicable as HCPCS priced under one methodology,2049,20250101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6620,"Upper extremity addition, flexion/extension wrist unit, with or without friction",,,FALSE,C0500030,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0485,"Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, prefabricated, includes fitting and adjustment",,,FALSE,C1616299,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20060101,0,D1E=Other DME,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9452,Documentation of medical reason(s) for not receiving hcv antibody test due to limited life expectancy,,,FALSE,C5884013,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",,,FALSE,C1509022,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20090701,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2100.5,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3925,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf",,,FALSE,C3710534,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0220-L0220,Thoracic Rib Belt,,,FALSE,C4542621,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L0100-L4999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3702-L3766,Elbow Orthotics,,,FALSE,C2729382,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L3650-L3999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2512,"Accessory for speech generating device, mounting system",,,FALSE,C0919096,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2500-E2599,N=No maintenance for this code,20040101,0,D1E=Other DME,D=Special coverage instructions apply,20040101,60-23,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0912,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar",,,FALSE,C1617373,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,20060101,0,D1B=Hospital beds,D=Special coverage instructions apply,20060101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4614,"Peak expiratory flow rate meter, hand held",,,FALSE,C0694922,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4611-A4629,N=No maintenance for this code,19990101,0,Z2=Undefined codes,C=Carrier judgment,19990101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2995,"Injection, streptokinase, per 250,000 iu",,,FALSE,C0498992,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E2310,"Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware",,,FALSE,C1314339,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9542,"Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994265,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9490-S9810,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3982,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment",,,FALSE,C0499793,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3980-L3999,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19840101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3960-L3973,Shoulder-Elbow-Wrist-Hand Orthotics (SEWHO),,,FALSE,C2368645,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L3650-L3999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",,,FALSE,C1314251,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6413-A6461,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5728,"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control",,,FALSE,C0499948,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5710-L5780,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1600,Delivery and/or installation charges for hemodialysis equipment,,,FALSE,C0498661,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,Demonstration Project,,,FALSE,C4542605,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2293,"Back, contoured, for pediatric size wheelchair including fixed attaching hardware",,,FALSE,C1508814,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9361,"Home infusion therapy, diuretic intravenous therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994234,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9127,"Social work visit, in the home, per diem",,,FALSE,C0812851,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E1232,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system",,,FALSE,C1145112,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1229-E1239,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,D=Special coverage instructions apply,20030101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5718,"Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control",,,FALSE,C0499944,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5710-L5780,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4240,"Corecyte, for topical use only, per 0.5 cc",,,FALSE,C5439784,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A4652,Microcapillary tube sealant,,,FALSE,C0993678,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4648-A4652,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G6009,"Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 11-19 mev",,,FALSE,C0373373,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G6003-G6017,N=No maintenance for this code,20150101,0,P7A=Oncology - radiation therapy,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2387,"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each",,,FALSE,C1739979,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20070101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8600,"Implantable breast prosthesis, silicone or equal",,,FALSE,C0500185,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8600-L8600,N=No maintenance for this code,19971001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19920101,35-47,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9322,"Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given",,,FALSE,C5974206,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20250101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5500-L5505,Prosthetic Procedures - Lower Limb - Initial Prosthesis,,,FALSE,C0813075,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/H2031,"Mental health clubhouse services, per diem",,,FALSE,C1314404,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G8816,Statin medication prescribed at discharge,,,FALSE,C3248552,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E2313,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each",,,FALSE,C1971045,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0784,"External ambulatory infusion pump, insulin",,,FALSE,C0498515,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0776-E0791,N=No maintenance for this code,20000701,0,D1E=Other DME,D=Special coverage instructions apply,19960101,60-14,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9558,"Xenon xe-133 gas, diagnostic, per 10 millicuries",,,FALSE,C1616804,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/L4002,"Replacement strap, any orthosis, includes all components, any length, any type",,,FALSE,C1509058,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4000-L4210,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/K0863,"Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds",,,FALSE,C1743176,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9683,Facility service(s) for the onsite acute care treatment of a nursing facility resident with fluid or electrolyte disorder. (may only be billed once per day per beneficiary). this service is for a demonstration project,,,FALSE,C4746371,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20161001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C1982,"Catheter, pressure-generating, one-way valve, intermittently occlusive",,,FALSE,C5229002,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20230101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2562,"Injection, plerixafor, 1 mg",,,FALSE,C2729463,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20100101,0,O1E=Other drugs,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,20100101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7310,"Ganciclovir, 4.5 mg, long-acting implant",,,FALSE,C0499066,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7310-J7310,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1629,Tablo hemodialysis system for the billable dialysis service,,,FALSE,C5574456,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20220101,0,P9B=Dialysis services (Non-Medicare fee schedule),C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S8101,Holding chamber or spacer for use with an inhaler or nebulizer; with mask,,,FALSE,C0994167,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8096-S8210,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9703,Episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date,,,FALSE,C4316228,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C1603,"Retrieval device, insertable, laser (used to retrieve intravascular inferior vena cava filter)",,,FALSE,C5883964,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1052-C1715,N=No maintenance for this code,20240101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,53=Statute,,1833(T),F=Ambulatory surgical center (facility usage for surgical services)|9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4361,"Epixpress, per square centimeter",,,FALSE,C5979764,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/S5151,"Unskilled respite care, not hospice; per diem",,,FALSE,C1314573,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0583,"Injection, bivalirudin, 1 mg",,,FALSE,C1314413,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0737,"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg",,,FALSE,C5884034,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6033,"Addition to upper extremity prosthesis, partial hand including fingers, acrylic material",,,FALSE,C5979751,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6000-L6037,A=Add procedure or modifier code,20250401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0478,"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type",,,FALSE,C2959293,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0320,Home health services furnished using synchronous telemedicine rendered via a real-time two-way audio and video telecommunications system,,,FALSE,C5771589,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9537,Imaging needed as part of a clinical trial; or other clinician ordered the study,,,FALSE,C4722281,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J1448,"Injection, trilaciclib, 1mg",,,FALSE,C5574556,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20211001,0,O1E=Other drugs,C=Carrier judgment,20211001,,,A=Not applicable as HCPCS priced under one methodology,,20211001,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/H0052,Missing and murdered indigenous persons (mmip) mental health and clinical care,,,FALSE,C5974210,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20250101,0,Z2=Undefined codes,I=Not payable by Medicare,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L3465,"Heel, thomas with wedge",,,FALSE,C0499707,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3430-L3485,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2510,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model",,,FALSE,C0499601,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2500-L2550,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",,,FALSE,C0520060,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2630-V2632,Intraocular Lenses,,,FALSE,C0023311,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20V0000-V2999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0870,"Injection, imetelstat, 1 mg",,,FALSE,C5974234,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q5108,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg",,,FALSE,C4746505,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20230401,0,O1E=Other drugs,C=Carrier judgment,20181001,,,A=Not applicable as HCPCS priced under one methodology,,20181001,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9773,"At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) not achieved within the 30 minutes immediately before or 15 minutes immediately after anesthesia end time, reason not given",,,FALSE,C4746381,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4128,"Flex hd, or allopatch hd, per square centimeter",,,FALSE,C3248673,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20221001,0,O1E=Other drugs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each",,,FALSE,C1509031,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5500-A5514,N=No maintenance for this code,20190101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2134,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,J=Diabetic shoes (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0290,"Hospital bed, fixed height, without side rails, with mattress",,,FALSE,C0498425,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19910101,0,D1B=Hospital beds,D=Special coverage instructions apply,19910101,60-18,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5703,"Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only",,,FALSE,C1621015,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5700-L5703,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9061,Oncology; practice guidelines; patient's condition not addressed by available guidelines (for use in a medicare-approved demonstration project),,,FALSE,C1617849,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4364,"Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter",,,FALSE,C5979767,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9137,"Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; relapsed/refractory (for use in a medicare-approved demonstration project)",,,FALSE,C1971329,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0035,Patient has any emergency department encounter during the performance period with place of service indicator 23,,,FALSE,C5574461,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L8510,Voice amplifier,,,FALSE,C0993990,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8500-L8515,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20020101,65-5,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1050,"Injection, medroxyprogesterone acetate, 1 mg",,,FALSE,C3503747,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20130101,0,O1E=Other drugs,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4300-A4301,Implantable Catheters,,,FALSE,C3489625,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1270,"Injection, doxercalciferol, 1 mcg",,,FALSE,C0993940,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20020101,0,O1E=Other drugs,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q0035,Cardiokymography,,,FALSE,C0500257,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0035-Q0035,N=No maintenance for this code,19910101,0,T2D=Other tests - other,D=Special coverage instructions apply,19890101,50-50,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/L6320,"Shoulder disarticulation, passive restoration (shoulder cap only)",,,FALSE,C0500005,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6300-L6320,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q5106,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units",,,FALSE,C4746503,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20200101,0,O1E=Other drugs,D=Special coverage instructions apply,20180701,,,A=Not applicable as HCPCS priced under one methodology,2049,20180701,,YY,51=Drugs,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9754,A finding of an incidental pulmonary nodule,,,FALSE,C4316195,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4932,"Rectal thermometer, reusable, any type, each",,,FALSE,C1144956,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20070101,0,Z2=Undefined codes,C=Carrier judgment,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5850,"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist",,,FALSE,C0499966,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9945,"Patient had cancer, acute fracture or infection related to the lumbar spine or patient had neuromuscular, idiopathic or congenital lumbar scoliosis",,,FALSE,C5551239,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4318,"E-graft, per square centimeter",,,FALSE,C5974395,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/S8950,"Complex lymphedema therapy, each 15 minutes",,,FALSE,C0812835,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4354,Insertion tray with drainage bag but without catheter,,,FALSE,C0497836,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,19900101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6599,"Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each",,,FALSE,C5883939,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6593-A6611,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1815,"Prosthesis, urinary sphincter (implantable)",,,FALSE,C0993775,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5268-V5290,Hearing Services - Assistive Listening Devices,,,FALSE,C4542668,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20V5000-V5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9065,"Oncology; disease status; limited to non-small cell lung cancer; extent of disease initially established as stage iii a (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1619384,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2192,"Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt",,,FALSE,C0499567,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2180-L2192,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0509,"Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth",,,FALSE,C4316260,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0508-G0509,N=No maintenance for this code,20170101,0,M5D=Specialist - other,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q0,Investigational clinical service provided in a clinical research study that is in an approved clinical research study,,,FALSE,C1971589,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20080101,,,D=Special coverage instructions apply,20080101,,,,,,,,,"0146=NCD MANUAL, SECTION 310.1, 42 CFR 405.205, SUBPART B SECTION 1862(A) OF THE ACT.",,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/QR,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),,,FALSE,C4746274,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20180401,,,C=Carrier judgment,20180401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/QW,Clia waived test,,,FALSE,C0497680,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19961001,,,C=Carrier judgment,19960101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/Q6,"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",,,FALSE,C4542673,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20170701,,,D=Special coverage instructions apply,19930101,,,,3060.7,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q2,Demonstration procedure/service,,,FALSE,C0497654,http://purl.bioontology.org/ontology/STY/T057,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20170101,,,C=Carrier judgment,19920101,,,,,,,,,0046=THIS MODIFIER (Q2) IS AUTHORIZED FOR USE BY THE HCFA OFFICE OF RESEARCH AND DEMONSTRATIONS ONLY; FOR CLAIMS SUBMITTED TO ORD FOR PAYMENT IN CONNECTION WITH DEMONSTRATION PROJECTS.,,,,,,http://purl.bioontology.org/ontology/STY/T057
http://purl.bioontology.org/ontology/HCPCS/QD,Recording and storage in solid state memory by a digital recorder,,,FALSE,C0497665,http://purl.bioontology.org/ontology/STY/T066,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19890101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T066
http://purl.bioontology.org/ontology/HCPCS/Q9,One class b and two class c findings,,,FALSE,C0497661,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/QM,Ambulance service provided under arrangement by a provider of services,,,FALSE,C0497672,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19960101,,,,,,,,,,,,,http://purl.bioontology.org/ontology/HCPCS/AM,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4,Service for ordering/referring physician qualifies as a service exemption,,,FALSE,C0497656,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19940101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/QJ,"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)",,,FALSE,C1144876,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,D=Special coverage instructions apply,20030101,,,,,,,,,0111=IN ACCORDANCE WITH 42 CFR 411.4 (B).,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/QL,Patient pronounced dead after ambulance called,,,FALSE,C0694917,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19990101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/QE,Prescribed amount of stationary oxygen while at rest is less than 1 liter per minute (lpm),,,FALSE,C0497666,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20180401,,,C=Carrier judgment,19890101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/QF,Prescribed amount of stationary oxygen while at rest exceeds 4 liters per minute (lpm) and portable oxygen is prescribed,,,FALSE,C0497667,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20180401,,,C=Carrier judgment,19890101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/QT,Recording and storage on tape by an analog tape recorder,,,FALSE,C0497678,http://purl.bioontology.org/ontology/STY/T066,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19890101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T066
http://purl.bioontology.org/ontology/HCPCS/Q5,"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",,,FALSE,C4542672,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20170701,,,D=Special coverage instructions apply,19930101,,,,3060.6,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/QP,"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.",,,FALSE,C0497675,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19960301,,,D=Special coverage instructions apply,19960101,,,,7517.1,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/QC,Single channel monitoring,,,FALSE,C0497664,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19890101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q1,Routine clinical service provided in a clinical research study that is in an approved clinical research study,,,FALSE,C1971590,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20080101,,,D=Special coverage instructions apply,20080101,,,,,,,,,"0146=NCD MANUAL, SECTION 310.1, 42 CFR 405.205, SUBPART B SECTION 1862(A) OF THE ACT.",,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q8,Two class b findings,,,FALSE,C0497660,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/QY,Medical direction of one certified registered nurse anesthetist (crna) by an anesthesiologist,,,FALSE,C0694919,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20010101,,,D=Special coverage instructions apply,19980101,,,,3350.5,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/QB,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,,,FALSE,C4746273,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20180401,,,C=Carrier judgment,20180401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q7,One class a finding,,,FALSE,C0497659,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q3,Live kidney donor surgery and related services,,,FALSE,C0497655,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/QX,Crna service: with medical direction by a physician,,,FALSE,C0497681,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19930101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/QK,"Medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals",,,FALSE,C0497671,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20010101,,,D=Special coverage instructions apply,19950101,,,,3350.5,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/QH,Oxygen conserving device is being used with an oxygen delivery system,,,FALSE,C0497669,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19890101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/QN,Ambulance service furnished directly by a provider of services,,,FALSE,C0497673,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19960101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/QG,Prescribed amount of stationary oxygen while at rest is greater than 4 liters per minute (lpm),,,FALSE,C0497668,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20180401,,,C=Carrier judgment,19890101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/QA,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),,,FALSE,C4746272,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20180401,,,C=Carrier judgment,20180401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/QS,Monitored anesthesia care service,,,FALSE,C5700145,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19960701,,,D=Special coverage instructions apply,19900101,15018I,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/QZ,Crna service: without medical direction by a physician,,,FALSE,C0497682,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19930101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1806,"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg",,,FALSE,C5884288,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0063,Cardiology mips specialty set,,,FALSE,C5574488,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L2250,"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment",,,FALSE,C0499573,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3806-L3904,Wrist-Hand-Finger Orthosis (WHFO),,,FALSE,C5228972,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L3650-L3999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T2036,"Therapeutic camping, overnight, waiver; each session",,,FALSE,C1314636,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G8815,"Documented reason in the medical records for why the statin therapy was not prescribed (i.e., lower extremity bypass was for a patient with non-artherosclerotic disease)",,,FALSE,C3248551,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20170101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J3364,"Injection, urokinase, 5000 iu vial",,,FALSE,C0499023,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19930101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S5108,"Home care training to home care client, per 15 minutes",,,FALSE,C1314554,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C2631,"Repair device, urinary, incontinence, without sling graft",,,FALSE,C0993817,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2617-C2631,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2204,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens",,,FALSE,C0500339,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4267,"Neostim dl, per square centimeter",,,FALSE,C5884236,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230401,0,O1E=Other drugs,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J3010,"Injection, fentanyl citrate, 0.1 mg",,,FALSE,C0498996,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20010101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S8270,"Enuresis alarm, using auditory buzzer and/or vibration device",,,FALSE,C1617880,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20050701,0,Z2=Undefined codes,I=Not payable by Medicare,20050701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G3002-G3003,Pain Management,,,FALSE,C0002766,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1173,Patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period,,,FALSE,C5771681,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G8575,Developed postoperative renal failure or required dialysis,,,FALSE,C2729217,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C9772,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed",,,FALSE,C5439659,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20210101,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20210101,,,A=Not applicable as HCPCS priced under one methodology,,20210101,,YY,53=Statute,,1833(T),2=Surgery|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S2206,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), two coronary arterial grafts",,,FALSE,C0812814,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L4060,Replace high roll cuff,,,FALSE,C0499806,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4000-L4210,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4100,"Skin substitute, not otherwise specified",,,FALSE,C2368496,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20090101,0,O1E=Other drugs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/T2049,"Non-emergency transportation; stretcher van, mileage; per mile",,,FALSE,C1509102,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20040701,0,Z2=Undefined codes,I=Not payable by Medicare,20040701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4209,"Surgraft, per square centimeter",,,FALSE,C5229200,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A9697,"Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose",,,FALSE,C5884279,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/G9746,"Patient has mitral stenosis or prosthetic heart valves or patient has transient or reversible cause of af (e.g., pneumonia, hyperthyroidism, pregnancy, cardiac surgery)",,,FALSE,C4316200,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S2061,"Donor lobectomy (lung) for transplantation, living donor",,,FALSE,C0919172,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C2619,"Pacemaker, dual chamber, non rate-responsive (implantable)",,,FALSE,C0993808,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2617-C2631,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2715,"Prism, per lens",,,FALSE,C0500410,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C1776,Joint device (implantable),,,FALSE,C0993763,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9719,"Patient is not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in wheelchair",,,FALSE,C4316216,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E2383,"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each",,,FALSE,C1738556,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20070101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6501,"Compression burn garment, bodysuit (head to foot), custom fabricated",,,FALSE,C1144971,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2304,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens",,,FALSE,C0500361,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L6882,"Microprocessor control feature, addition to upper limb prosthetic terminal device",,,FALSE,C0993984,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6700-L6882,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20020101,,,A=Not applicable as HCPCS priced under one methodology,2133,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q0167,"Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",,,FALSE,C0694992,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0138-Q0249,N=No maintenance for this code,19980401,0,O1D=Chemotherapy,D=Special coverage instructions apply,19980401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,4557,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/T2042,Hospice routine home care; per diem,,,FALSE,C1314642,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K0870,"Power wheelchair, group 4 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds",,,FALSE,C1741414,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1229,"Wheelchair, pediatric size, not otherwise specified",,,FALSE,C1508807,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1229-E1239,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8616,"Microphone for use with cochlear implant device, replacement",,,FALSE,C1509070,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8608-L8629,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20050101,65-14,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q5141,"Injection, adalimumab-aaty, biosimilar, 1 mg",,,FALSE,C5974439,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S2079,Laparoscopic esophagomyotomy (heller type),,,FALSE,C1618394,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20060101,0,Z2=Undefined codes,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9342,"Search not conducted prior to an imaging study being performed for prior patient ct studies completed at non-affiliated external healthcare facilities or entities within the past 12-months and are available through a secure, authorized, media-free, shared archive, reason not given",,,FALSE,C3710432,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J0587,"Injection, rimabotulinumtoxinb, 100 units",,,FALSE,C2729276,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20100101,0,O1E=Other drugs,D=Special coverage instructions apply,20020101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8934,Current or prior left ventricular ejection fraction (lvef) <=40% or documentation of moderately or severely depressed left ventricular systolic function,,,FALSE,C5551251,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20250101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0514,"Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes (list separately in addition to code g0513 for additional 30 minutes of preventive service)",,,FALSE,C4542707,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0513-G0514,N=No maintenance for this code,20180101,0,M5D=Specialist - other,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1303,Hospice services provided to patient any time during the measurement period,,,FALSE,C5849228,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L6687,"Upper extremity addition, frame type socket, below elbow or wrist disarticulation",,,FALSE,C0500055,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9571,"Indium in-111 labeled autologous platelets, diagnostic, per study dose",,,FALSE,C1971404,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20080101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/C9356,"Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (tenoglide tendon protector sheet), per square centimeter",,,FALSE,C2368662,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20080701,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20080701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,621 MMA,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0238,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring)",,,FALSE,C0993919,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20041001,0,P6C=Minor procedures - other (Medicare fee schedule),C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,W=Physical therapy|U=Occupational therapy|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q0479,"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only",,,FALSE,C2959294,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8878,Sentinel lymph node biopsy procedure performed,,,FALSE,C3248612,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1813,"Dynamic adjustable knee extension only device, includes soft interface material",,,FALSE,C5974138,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20250101,0,D1E=Other DME,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0042,"Referral to physical, occupational, speech, or recreational therapy",,,FALSE,C5574468,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5855,"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist",,,FALSE,C0499967,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19950101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9473,"Services performed by chaplain in the hospice setting, each 15 minutes",,,FALSE,C4067439,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,M5D=Specialist - other,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4030,"Cast supplies, long leg cast, adult (11 years +), fiberglass",,,FALSE,C0994025,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4259,"Lancets, per box of 100",,,FALSE,C0497801,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19850101,60-11,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0439,"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit",,,FALSE,C2958955,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0438-G0451,N=No maintenance for this code,20110101,0,M5D=Specialist - other,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q9955,"Injection, perflexane lipid microspheres, per ml",,,FALSE,C1617875,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9950-Q9969,N=No maintenance for this code,20050401,0,I1F=Standard imaging - other,C=Carrier judgment,20050401,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/E0953,"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each",,,FALSE,C4542702,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20180101,0,D1D=Wheelchairs,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6580-L6590,Prosthetic Procedures - Upper Limb - Preparatory Prosthetic,,,FALSE,C5228978,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4483,"Moisture exchanger, disposable, for use with invasive mechanical ventilation",,,FALSE,C0694921,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19990101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0677,"Non-pneumatic sequential compression garment, trunk",,,FALSE,C5883993,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0650-E0677,N=No maintenance for this code,20230401,0,D1E=Other DME,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/B4148,"Enteral feeding supply kit; elastomeric control fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",,,FALSE,C5883960,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4100-B4162,N=No maintenance for this code,20231001,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,20231001,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0490,"Injection, belimumab, 10 mg",,,FALSE,C3248666,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20120101,0,O1E=Other drugs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,20120101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1071,"Injection, testosterone cypionate, 1 mg",,,FALSE,C3871370,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20150101,0,O1E=Other drugs,D=Special coverage instructions apply,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0194=PUB. 100-4, CH. 15.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E2325,"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware",,,FALSE,C1314346,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A5083,"Continent device, stoma absorptive cover for continent stoma",,,FALSE,C1971389,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5051-A5093,N=No maintenance for this code,20080101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0882,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)",,,FALSE,C1616839,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20170101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,4273.1,20170101,,YY,57=Other carrier priced,,,1=Medical care|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0739,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)",,,FALSE,C5884035,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250102,0,O1E=Other drugs,D=Special coverage instructions apply,20220701,,,A=Not applicable as HCPCS priced under one methodology,2049,20250101,,YY,57=Other carrier priced,,1861(ddd),1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9042,"Injection, brentuximab vedotin, 1 mg",,,FALSE,C3534673,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20130101,0,O1D=Chemotherapy,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,20130101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J8612,"Methotrexate (xatmep), oral, 2.5 mg",,,FALSE,C5974281,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,N=No maintenance for this code,20240701,0,O1D=Chemotherapy,D=Special coverage instructions apply,20240701,,,A=Not applicable as HCPCS priced under one methodology,2049.5,20240701,,YY,51=Drugs,,,"G=Immunosuppressive drugs|P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3310,"Lift, elevation, heel and sole, neoprene, per inch",,,FALSE,C0499688,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3300-L3334,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5856,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type",,,FALSE,C1509060,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V5110,"Dispensing fee, bilateral",,,FALSE,C0500438,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5070-V5110,N=No maintenance for this code,19950101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5634,"Addition to lower extremity, symes type, posterior opening (canadian) socket",,,FALSE,C0499880,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A2008,"Theragenesis, per square centimeter",,,FALSE,C5574427,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20220101,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20220101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1560,"Blood leak detector for hemodialysis, each, replacement",,,FALSE,C0491044,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1268,Patients observed in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period,,,FALSE,C5884173,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M0001,Advancing cancer care mips value pathways,,,FALSE,C5771657,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J1742,"Injection, ibutilide fumarate, 1 mg",,,FALSE,C0520145,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19980101,0,O1E=Other drugs,D=Special coverage instructions apply,19980101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5920,"Addition, endoskeletal system, above knee or hip disarticulation, alignable system",,,FALSE,C0499969,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9351,"Injection, topotecan, 0.1 mg",,,FALSE,C2959281,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20180101,0,O1D=Chemotherapy,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4410,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each",,,FALSE,C1144920,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2185,Documentation caregiver is trained and certified in dementia care,,,FALSE,C5439698,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4626,"Tracheostomy cleaning brush, each",,,FALSE,C0497885,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4611-A4629,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9689,Patient admitted for performance of elective carotid intervention,,,FALSE,C4316237,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0425,"Stationary compressed gas system, purchase; includes regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing",,,FALSE,C0498441,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,19930101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19860101,60-4,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4107.9,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C2645,"Brachytherapy planar source, palladium-103, per square millimeter",,,FALSE,C4067401,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2634-C2699,N=No maintenance for this code,20160101,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,53=Statute,,1833(T),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2206,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens",,,FALSE,C0500341,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0348,"Injection, anidulafungin, 1 mg",,,FALSE,C1739982,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5214,"Hearing aid, contralateral routing system, binaural, itc/itc",,,FALSE,C4746518,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20190101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4047,"Cast supplies, short leg splint, pediatric (0-10 years), plaster",,,FALSE,C0994042,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0971,"Manual wheelchair accessory, anti-tipping device, each",,,FALSE,C0492053,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",K0021,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0116,"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each",,,FALSE,C0498356,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0110-E0118,N=No maintenance for this code,20060101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2355,"Injection, oprelvekin, 5 mg",,,FALSE,C0694958,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,D=Special coverage instructions apply,19990101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/B4082,Nasogastric tubing without stylet,,,FALSE,C0497983,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4034-B4088,N=No maintenance for this code,20020101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19860101,65-10,,A=Not applicable as HCPCS priced under one methodology,2130|4450,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H0045,"Respite care services, not in the home, per diem",,,FALSE,C1145178,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4226,"Myown skin, includes harvesting and preparation procedures, per square centimeter",,,FALSE,C5229214,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/M1349,Patients who did not have a net increase in pam score of at least 3 points within a 4 to 12 month period,,,FALSE,C5974318,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A6513,"Compression burn mask, face and/or neck, plastic or equal, custom fabricated",,,FALSE,C1618335,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20060101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2126,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated",,,FALSE,C0499556,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2106-L2136,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0603,"Breast pump, electric (ac and/or dc), any type",,,FALSE,C0993859,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0602-E0604,N=No maintenance for this code,20020101,0,Z2=Undefined codes,C=Carrier judgment,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1365,Patient encounter during the performance period with hospice and palliative care specialty code 17,,,FALSE,C5884224,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S0021,"Injection, cefoperazone sodium, 1 gram",,,FALSE,C0812777,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5262,"Hearing aid, disposable, any type, monaural",,,FALSE,C0994311,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7699-J8499,Not Otherwise Classified/Specified,,,FALSE,C4542613,http://purl.bioontology.org/ontology/STY/T169,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J0100-J8999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T169
http://purl.bioontology.org/ontology/HCPCS/G0470,"Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit",,,FALSE,C3871272,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0466-G0470,N=No maintenance for this code,20141001,0,M1B=Office visits - established,C=Carrier judgment,20141001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S2340,Chemodenervation of abductor muscle(s) of vocal cord,,,FALSE,C0919181,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L1951,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C1314464,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1900-L1990,C=Change in long description of procedure or modifier code,20250401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1752,"Catheter, hemodialysis/peritoneal, short-term",,,FALSE,C0993746,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20010401,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9485,"Crisis intervention mental health services, per diem",,,FALSE,C0812865,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0475,"Hiv antigen/antibody, combination assay, screening",,,FALSE,C4067423,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0471-G0476,N=No maintenance for this code,20150413,0,T2D=Other tests - other,C=Carrier judgment,20150413,,140=Virology|220=General immunology,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/G9624,Patient not screened for unhealthy alcohol use using a systematic screening method or patient did not receive brief counseling if identified as an unhealthy alcohol user,,,FALSE,C4067546,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0490-G0490,Home Health Nursing Visit: Area of Shortage,,,FALSE,C4542594,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1351,"Patients who had a suicide safety plan initiated, reviewed, or updated and reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 hours of clinical encounter and within 120 days after initiation",,,FALSE,C5884214,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1151,Patients with a history of heart transplant or with a left ventricular assist device (lvad),,,FALSE,C5703346,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V2113,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens",,,FALSE,C0500328,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2100-V2199,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/T1022,"Contracted home health agency services, all services provided under contract, per day",,,FALSE,C1145364,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q0503,"Battery for pneumatic ventricular assist device, replacement only, each",,,FALSE,C1617872,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P9070,"Plasma, pooled multiple donor, pathogen reduced, frozen, each unit",,,FALSE,C4067621,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20160101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20160101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,1833T,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/G9531,"Patient has documentation of ventricular shunt, brain tumor, multisystem trauma, or is currently taking an antiplatelet medication including: abciximab, anagrelide, cangrelor, cilostazol, clopidogrel, dipyridamole, eptifibatide, prasugrel, ticlopidine, ticagrelor, tirofiban, or vorapaxar",,,FALSE,C4746355,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S2067,"Breast reconstruction of a single breast with ""stacked"" deep inferior epigastric perforator (diep) flap(s) and/or gluteal artery perforator (gap) flap(s), including harvesting of the flap(s), microvascular transfer, closure of donor site(s) and shaping the flap into a breast, unilateral",,,FALSE,C1971379,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20070701,0,Z2=Undefined codes,I=Not payable by Medicare,20070701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3410,"Metatarsal bar wedge, between sole",,,FALSE,C0499700,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3340-L3420,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7323,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose",,,FALSE,C1971348,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7318-J7329,N=No maintenance for this code,20080101,0,O1E=Other drugs,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2101,"Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens",,,FALSE,C0500316,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2100-V2199,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4224,"Human health factor 10 amniotic patch (hhf10-p), per square centimeter",,,FALSE,C5771712,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20220401,0,O1E=Other drugs,C=Carrier judgment,20220401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J3145,"Injection, testosterone undecanoate, 1 mg",,,FALSE,C3871246,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20150101,0,O1E=Other drugs,D=Special coverage instructions apply,20150101,,,A=Not applicable as HCPCS priced under one methodology,,20150101,,YY,51=Drugs,"0127=PUBLICATION 100.2, CHAPTER 15, 50.1.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S3655,Antisperm antibodies test (immunobead),,,FALSE,C1314528,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20021001,0,Z2=Undefined codes,I=Not payable by Medicare,20021001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",,,FALSE,C0498451,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20100101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19930101,60-4,,A=Not applicable as HCPCS priced under one methodology,4107.9,,,,33=Oxygen and oxygen equipment (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1930,"Injection, lanreotide, 1 mg",,,FALSE,C2368483,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20090101,0,O1E=Other drugs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,20150101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6885,"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power",,,FALSE,C1616339,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6883-L6885,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6672,"Upper extremity addition, harness, chest or shoulder, saddle type",,,FALSE,C0500048,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1803,"Dynamic adjustable elbow extension only device, includes soft interface material",,,FALSE,C5974134,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20250101,0,D1E=Other DME,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9996,Meals for clinical trial participant and one caregiver/companion,,,FALSE,C0812874,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9900-S9999,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J2373,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms",,,FALSE,C5974259,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G4031,Radiation oncology mips specialty set,,,FALSE,C5574534,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2634-C2699,Brachytherapy Sources,,,FALSE,C0179405,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20C1000-C9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A4719,"""y set"" tubing for peritoneal dialysis",,,FALSE,C0993688,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4148,"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter",,,FALSE,C3710569,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/S9445,"Patient education, not otherwise classified, non-physician provider, individual, per session",,,FALSE,C0994253,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1224,Intraocular pressure (iop) reduced by a value less than 20% from the pre-intervention level,,,FALSE,C5884129,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L0452,"Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, custom fabricated",,,FALSE,C1145253,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9992,Palliative care services used by patient any time during the measurement period,,,FALSE,C5552826,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L5670,"Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar)",,,FALSE,C0499912,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/K0455,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)",,,FALSE,C0520191,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0455-K0605,N=No maintenance for this code,20030701,0,D1E=Other DME,D=Special coverage instructions apply,19980101,60-14,,A=Not applicable as HCPCS priced under one methodology,,,,,31=Frequently serviced DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0467,"Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit",,,FALSE,C3871269,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0466-G0470,N=No maintenance for this code,20141001,0,M1B=Office visits - established,C=Carrier judgment,20141001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/B4176,"Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) - home mix",,,FALSE,C0497989,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4164-B5200,N=No maintenance for this code,20020101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19860101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/S0581,Nonstandard lens (list this code in addition to the basic code for the lens),,,FALSE,C0994094,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0500-S0596,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0665,"Injection, bupivicaine, not otherwise specified, 0.5 mg",,,FALSE,C5884032,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7667,"Metaproterenol sulfate, inhalation solution, compounded product, concentrated form, per 10 milligrams",,,FALSE,C1737753,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1250,"Injection, dobutamine hydrochloride, per 250 mg",,,FALSE,C0498850,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19960101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4366,"Ostomy vent, any type, each",,,FALSE,C1314219,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9034,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265)",,,FALSE,C1145336,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/P9027,"Red blood cells, leukocytes reduced, oxygen/ carbon dioxide reduced, each unit",,,FALSE,C5974373,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20241001,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,2455B,,,,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/A6605,"Gradient compression bandaging supply, padded foam, per linear yard, any width, each",,,FALSE,C5883945,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6593-A6611,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,Immunosuppressive Drugs (Includes Non-injectibles),,,FALSE,C2729345,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J0100-J8999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9107,"Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; unresectable at diagnosis, m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)",,,FALSE,C1618884,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A9611,"Flurpiridaz f 18, diagnostic, 1 millicurie",,,FALSE,C5979707,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,A=Add procedure or modifier code,20250401,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/A6220,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing",,,FALSE,C0520040,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8924,Spirometry results documented (fev1/fvc < 70%),,,FALSE,C4067434,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20240101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G2187,Patients with clinical indications for imaging of the head: head trauma,,,FALSE,C5439700,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0140,"Principal illness navigation - peer support by certified or trained auxiliary personnel under the direction of a physician or other practitioner, including a certified peer specialist; 60 minutes per calendar month, in the following activities: person-centered interview, performed to better understand the individual context of the serious, high-risk condition. ++ conducting a person-centered interview to understand the patient's life story, strengths, needs, goals, preferences, and desired outcomes, including understanding cultural and linguistic factors, and including unmet sdoh needs (that are not billed separately). ++ facilitating patient-driven goal setting and establishing an action plan. ++ providing tailored support as needed to accomplish the person-centered goals in the practitioner's treatment plan. identifying or referring patient (and caregiver or family, if applicable) to appropriate supportive services. practitioner, home, and community-based care communication. ++ assist the patient in communicating with their practitioners, home-, and community-based service providers, hospitals, and skilled nursing facilities (or other health care facilities) regarding the patient's psychosocial strengths and needs, goals, preferences, and desired outcomes, including cultural and linguistic factors. ++ facilitating access to community-based social services (e.g., housing, utilities, transportation, food assistance) as needed to address sdoh need(s). health education. helping the patient contextualize health education provided by the patient's treatment team with the patient's individual needs, goals, preferences, and sdoh need(s), and educating the patient (and caregiver if applicable) on how to best participate in medical decision-making. building patient self-advocacy skills, so that the patient can interact with members of the health care team and related community-based services (as needed), in ways that are more likely to promote personalized and effective treatment of their condition. developing and proposing strategies to help meet person-centered treatment goals and supporting the patient in using chosen strategies to reach person-centered treatment goals. facilitating and providing social and emotional support to help the patient cope with the condition, sdoh need(s), and adjust daily routines to better meet person-centered diagnosis and treatment goals. leverage knowledge of the serious, high-risk condition and/or lived experience when applicable to provide support, mentorship, or inspiration to meet treatment goals",,,FALSE,C5884007,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20240101,0,M5D=Specialist - other,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2511,"Speech generating software program, for personal computer or personal digital assistant",,,FALSE,C0919095,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2500-E2599,N=No maintenance for this code,20040101,0,D1E=Other DME,D=Special coverage instructions apply,20040101,60-23,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8507,"Tracheo-esophageal voice prosthesis, patient inserted, any type, each",,,FALSE,C0993988,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8500-L8515,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1270,"Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests",,,FALSE,C0498618,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1240-E1270,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1726,"Catheter, balloon dilatation, non-vascular",,,FALSE,C0993737,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4418,"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each",,,FALSE,C1314222,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S3902,Ballistocardiogram,,,FALSE,C0004700,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S3900-S3904,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/B4105,"In-line cartridge containing digestive enzyme(s) for enteral feeding, each",,,FALSE,C4746282,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4100-B4162,N=No maintenance for this code,20190101,0,O1C=Enteral and parenteral,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),Q9994,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",,,FALSE,C3710543,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4350-L4631,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0003,Lightweight wheelchair,,,FALSE,C0499164,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,19940101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,http://purl.bioontology.org/ontology/HCPCS/E1250|http://purl.bioontology.org/ontology/HCPCS/E1260,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2184,"Addition to lower extremity fracture orthosis, limited motion knee joint",,,FALSE,C0499563,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2180-L2192,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1100-E1110,Wheelchair: Semi-reclining,,,FALSE,C0812971,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0574,"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine",,,FALSE,C4067596,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,D=Special coverage instructions apply,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0127=PUBLICATION 100.2, CHAPTER 15, 50.1.",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1262,Patients who had a transplant prior to initiation of dialysis,,,FALSE,C5884167,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9517,"Patient did not achieve an improvement in visual acuity, from their preoperative level, within 90 days of surgery, reason not given",,,FALSE,C4067468,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4014,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass",,,FALSE,C0994009,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2173,"Uri episodes where the patient had a comorbid condition during the 12 months prior to or on the episode date (e.g., tuberculosis, neutropenia, cystic fibrosis, chronic bronchitis, pulmonary edema, respiratory failure, rheumatoid lung disease)",,,FALSE,C5439687,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J3591,Unclassified drug or biological used for esrd on dialysis,,,FALSE,C4746413,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C8914,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",,,FALSE,C0993833,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8900-C8920,N=No maintenance for this code,20011001,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20011001,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2146,Leg pain as measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was less than or equal to 3.0 or leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated an improvement of 5.0 points or greater,,,FALSE,C5229108,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q0482,"Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only",,,FALSE,C1616341,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0824,"Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds",,,FALSE,C1743172,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1820,"Replacement soft interface material, dynamic adjustable extension/flexion device",,,FALSE,C0498676,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20020101,0,D1E=Other DME,C=Carrier judgment,19960101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q5152,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg",,,FALSE,C5979776,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L1660,"Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment",,,FALSE,C0499490,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1600-L1690,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2218,"Aniseikonic, per lens, bifocal",,,FALSE,C0500353,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1161,"Patient had anaphylaxis due to the tetanus, diphtheria or pertussis vaccine any time on or before the patient's 13th birthday",,,FALSE,C5771672,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G8833,Patient not discharged to home by post-operative day #2 following evar,,,FALSE,C3248569,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4554,"Disposable underpads, all sizes",,,FALSE,C0497865,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H0002,Behavioral health screening to determine eligibility for admission to treatment program,,,FALSE,C0919038,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9353,"More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis for documented reasons (eg, patients with complications, second ct obtained prior to surgery, other medical reasons)",,,FALSE,C3710443,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L8641,Metatarsal joint implant,,,FALSE,C0500207,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8630-L8659,N=No maintenance for this code,19971001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19920101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1036,"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs",,,FALSE,C2729176,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1031-E1039,N=No maintenance for this code,20100101,0,D1D=Wheelchairs,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9772,"Documentation of medical reason(s) for not achieving at least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) within the 30 minutes immediately before or 15 minutes immediately after anesthesia end time (e.g., emergency cases, intentional hypothermia, etc.)",,,FALSE,C4746380,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G4001,Diagnostic radiology mips specialty set,,,FALSE,C5574504,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J9308,"Injection, ramucirumab, 5 mg",,,FALSE,C3871247,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20160101,0,O1D=Chemotherapy,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9110,"Oncology; disease status; head and neck cancer, limited to cancers of oral cavity, pharynx and larynx with squamous cell as predominant cell type; extent of disease initially established as t3-4 and/or n1-3, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1617345,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9981,"Medical records copying fee, administrative",,,FALSE,C0994270,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9900-S9999,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/G9806,Patients who received cervical cytology or an hpv test,,,FALSE,C4316149,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/G0050,Patients with a catheter that have limited life expectancy,,,FALSE,C5574475,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0860,"Traction equipment, overdoor, cervical",,,FALSE,C0498519,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,19890101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4557,"Lead wires, (e.g., apnea monitor), per pair",,,FALSE,C0497866,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20000101,0,D1E=Other DME,C=Carrier judgment,19840101,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/STY/T168,Food,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T167,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T167,Substance,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T072,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T169,Functional Concept,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T078,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/HCPCS/J7178,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg",,,FALSE,C4746416,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,20140401,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0561,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use in conjunction with 0583t)",,,FALSE,C5974194,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,P6C=Minor procedures - other (Medicare fee schedule),C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4034,"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass",,,FALSE,C0994029,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9061,"Injection, amivantamab-vmjw, 2 mg",,,FALSE,C5574567,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20220101,0,O1D=Chemotherapy,C=Carrier judgment,20220101,,,A=Not applicable as HCPCS priced under one methodology,,20220101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L2060,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated",,,FALSE,C0499543,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2040-L2090,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7635,"Atropine, inhalation solution, compounded product, administered through dme, concentrated form, per milligram",,,FALSE,C0520196,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9556,"Gallium ga-67 citrate, diagnostic, per millicurie",,,FALSE,C1617823,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/M1337,Acute pvd,,,FALSE,C5884200,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A6255,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing",,,FALSE,C0520063,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9861,Patient spent greater than or equal to three days in hospice care,,,FALSE,C4316105,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4025,"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster",,,FALSE,C0994020,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L7190,"Electronic elbow, adolescent, variety village or equal, myoelectronically controlled",,,FALSE,C0500134,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7170-L7191,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L7402,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal)",,,FALSE,C1618897,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7400-L7406,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E8000-E8002,Pediatric Gait Trainers,,,FALSE,C4542578,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1107,"Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care",,,FALSE,C5203702,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E1172,"Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest",,,FALSE,C0498596,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1170-E1200,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9295,Specimen site other than anatomic cutaneous location,,,FALSE,C3710396,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9383,Patient received screening for hcv infection within the 12 month reporting period,,,FALSE,C3871296,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E2323,"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated",,,FALSE,C1314344,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9761,Patients who use hospice services any time during the measurement period,,,FALSE,C4283832,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",,,FALSE,C1314333,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0179,"Megestrol acetate, oral, 20 mg",,,FALSE,C0994063,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,Other Patient Services and Caregiver Training,,,FALSE,C5974070,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/T2013,"Habilitation, educational, waiver; per hour",,,FALSE,C1314613,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0841,"Injection, crotalidae immune f(ab')2 (equine), 120 mg",,,FALSE,C4722253,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9900,"Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified",,,FALSE,C4542735,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V2207,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens",,,FALSE,C0500342,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9763,Patient did not have at least two hpv vaccines (with at least 146 days between the two) or three hpv vaccines on or between the patient's 9th and 13th birthdays,,,FALSE,C4542721,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S0311,"Comprehensive management and care coordination for advanced illness, per calendar month",,,FALSE,C4316074,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20160701,0,Z2=Undefined codes,I=Not payable by Medicare,20160701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L8049,"Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a non-physician",,,FALSE,C0919109,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8040-L8049,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4772,"Blood glucose test strips, for dialysis, per 50",,,FALSE,C0993702,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2626,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable",,,FALSE,C3248408,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2626-E2633,N=No maintenance for this code,20120101,0,D1D=Wheelchairs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J3535,Drug administered through a metered dose inhaler,,,FALSE,C0499039,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,M=Non-covered by Medicare,19940101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2050.5,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9230,"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg",,,FALSE,C0499142,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20230101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5671,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert",,,FALSE,C0993979,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2628,"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables",,,FALSE,C0499616,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2570-L2680,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",,,FALSE,C0499754,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1142,Emergent cases,,,FALSE,C5229190,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0744,"Injection, ciprofloxacin for intravenous infusion, 200 mg",,,FALSE,C0993938,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20020101,0,O1E=Other drugs,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E2614,"Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware",,,FALSE,C1508938,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2601-E2621,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q9953,"Injection, iron-based magnetic resonance contrast agent, per ml",,,FALSE,C1618904,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9950-Q9969,N=No maintenance for this code,20050401,0,I1F=Standard imaging - other,D=Special coverage instructions apply,20050401,,,A=Not applicable as HCPCS priced under one methodology,15022,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/E0325,"Urinal; male, jug-type, any material",,,FALSE,C0498436,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2390,"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each",,,FALSE,C1737747,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20070101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",,,FALSE,C3710518,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3650-L3678,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6930,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device",,,FALSE,C0500110,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6920-L6975,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7336,"Capsaicin 8% patch, per square centimeter",,,FALSE,C3854073,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7330-J7402,N=No maintenance for this code,20150101,0,O1E=Other drugs,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,20150101,,YY,51=Drugs,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S2205,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), single coronary arterial graft",,,FALSE,C0812813,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9638,"Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)",,,FALSE,C4746369,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L8702,"Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated",,,FALSE,C4746428,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8690-L9900,N=No maintenance for this code,20240101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0221,Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 60 minutes,,,FALSE,C0919165,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S2060,Lobar lung transplantation,,,FALSE,C0919171,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1058,Patient was a permanent nursing home resident at any time during the performance period,,,FALSE,C4746466,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S5180,"Home health respiratory therapy, initial evaluation",,,FALSE,C1314580,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9370,"Home therapy, intermittent anti-emetic injection therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994241,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T1505,"Electronic medication compliance management device, includes all components and accessories, not otherwise classified",,,FALSE,C2959329,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20110101,0,Z2=Undefined codes,I=Not payable by Medicare,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9603,"Injection, pafolacianine, 0.1 mg",,,FALSE,C5883957,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20231001,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/G9428,"Pathology report includes the pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors",,,FALSE,C4722496,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0901,"Vadadustat, oral, 1 mg (for esrd on dialysis)",,,FALSE,C5974236,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L1836,"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf",,,FALSE,C3710506,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4219,"Surgigraft-dual, per square centimeter",,,FALSE,C5229210,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A4452,"Tape, waterproof, per 18 square inches",,,FALSE,C1144926,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7195,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",,,FALSE,C0694986,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20150101,0,O1E=Other drugs,D=Special coverage instructions apply,20020101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0108-G0109,Diabetes Management Training Services,,,FALSE,C4542579,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J7213,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.",,,FALSE,C5884082,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20230701,0,O1E=Other drugs,D=Special coverage instructions apply,20230701,45-24,,A=Not applicable as HCPCS priced under one methodology,2049,20230701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0111,"Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips",,,FALSE,C0498352,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0110-E0118,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7189,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram",,,FALSE,C1619395,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20210101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",,,FALSE,C1314436,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0455-K0605,N=No maintenance for this code,20030401,0,D1E=Other DME,C=Carrier judgment,20030401,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1130-E1161,Wheelchair: Standard,,,FALSE,C0499162,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6370,"Interscapular thoracic, passive restoration (shoulder cap only)",,,FALSE,C0500008,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6350-L6370,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2301,"Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens",,,FALSE,C0500358,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G8651,Residual score for the hip impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0),,,FALSE,C4746326,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C7535,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation",,,FALSE,C5771549,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P2F=Major procedure - cardiovascular - Other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0051,Patients under hospice care in the current reporting month,,,FALSE,C5574476,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L2116,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment",,,FALSE,C0499553,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2106-L2136,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q5136,"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",,,FALSE,C5974434,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20241001,0,O1D=Chemotherapy,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1334,Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 2 weeks after initial acute pvd encounter,,,FALSE,C5884198,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q5129,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg",,,FALSE,C5884274,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,20230701,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4913,"Miscellaneous dialysis supplies, not otherwise specified",,,FALSE,C0497931,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S3846,Genetic testing for hemoglobin e beta-thalassemia,,,FALSE,C1314542,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S3800-S3870,N=No maintenance for this code,20030701,0,Z2=Undefined codes,I=Not payable by Medicare,20030701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/L6386,"Immediate post surgical or early fitting, each additional cast change and realignment",,,FALSE,C0500012,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6380-L6388,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2650,"Injection, prednisolone acetate, up to 1 ml",,,FALSE,C0498967,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1266,Patients admitted to a skilled nursing facility (snf),,,FALSE,C5884171,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4350-L4631,Ancillary Orthotic Services,,,FALSE,C2092480,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L0100-L4999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5700,"Replacement, socket, below knee, molded to patient model",,,FALSE,C0499932,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5700-L5703,N=No maintenance for this code,19940101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/H1001,"Prenatal care, at-risk enhanced service; antepartum management",,,FALSE,C0993931,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L8681,"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only",,,FALSE,C0993862,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8678-L8689,N=No maintenance for this code,20090101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20060101,65-8,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4344,"Indwelling catheter, foley type, two-way, all silicone or polyurethane, each",,,FALSE,C0497830,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,20231001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19830101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9663,Any ldl-c laboratory result >= 190 mg/dl,,,FALSE,C4067580,http://purl.bioontology.org/ontology/STY/T034,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T034
http://purl.bioontology.org/ontology/HCPCS/L6691,"Upper extremity addition, removable insert, each",,,FALSE,C0500059,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L8041,"Midfacial prosthesis, provided by a non-physician",,,FALSE,C0919101,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8040-L8049,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2197,Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user,,,FALSE,C5439710,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1050-E1070,Wheelchair: Fully Reclining,,,FALSE,C0812970,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2206,"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each",,,FALSE,C1508811,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/G9230,"Chlamydia, gonorrhea, and syphilis not screened, reason not given",,,FALSE,C3710334,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A9609,Fludeoxyglucose f18 up to 15 millicuries,,,FALSE,C5883959,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20240101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/J9040,"Injection, bleomycin sulfate, 15 units",,,FALSE,C0499105,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1149,"Patient unable to complete the neck fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility, and an adequate proxy is not available",,,FALSE,C5439769,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0249-E0249,Pad for Heating Unit,,,FALSE,C4316310,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P7001-P7001,Microbiology Tests,,,FALSE,C0085672,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20P0000-P9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/Q5110,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram",,,FALSE,C4722148,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20181001,0,O1E=Other drugs,D=Special coverage instructions apply,20181001,,,A=Not applicable as HCPCS priced under one methodology,2049,20181001,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0047,Pediatric patient with minor blunt head trauma and pecarn prediction criteria are not assessed,,,FALSE,C5574473,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9900-S9999,Temporary National Codes Established by Private Payers - Other Services and Fees,,,FALSE,C4542666,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20S0000-S9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L8612,Aqueous shunt,,,FALSE,C0181041,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8608-L8629,N=No maintenance for this code,19971001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19920101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",Q0074,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4326,"Male external catheter with integral collection chamber, any type, each",,,FALSE,C0497822,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0018,"Detachable, adjustable height armrest, upper portion, replacement only, each",,,FALSE,C0499179,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20160101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0251,"Hospital bed, fixed height, with any type side rails, without mattress",,,FALSE,C0498413,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19910101,0,D1B=Hospital beds,D=Special coverage instructions apply,19860101,60-18,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T1001,Nursing assessment / evaluation,,,FALSE,C0994275,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0210,"Electric heat pad, standard",,,FALSE,C0498394,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0200-E0239,N=No maintenance for this code,20030101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2248,"Injection, micafungin sodium, 1 mg",,,FALSE,C1739983,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0186,Air pressure mattress,,,FALSE,C0182382,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0181-E0199,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6243,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",,,FALSE,C0520052,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q5121,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg",,,FALSE,C5439798,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20231001,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20231001,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0701,"Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg",,,FALSE,C5771738,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0406-G0408,Follow-up Telehealth Consultation,,,FALSE,C4542583,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J1438,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",,,FALSE,C0812734,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20000101,0,O1E=Other drugs,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2502,"Contact lens, pmma, bifocal, per lens",,,FALSE,C0500384,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2500-V2599,N=No maintenance for this code,19850101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9138,"Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; diagnostic evaluation, stage not determined, evaluation of possible relapse or non-response to therapy, or not listed (for use in a medicare-approved demonstration project)",,,FALSE,C1971330,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4322,"Irrigation syringe, bulb or piston, each",,,FALSE,C0497820,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T4545,"Incontinence product, disposable, penile wrap, each",,,FALSE,C4746510,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20190101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20190101,60.9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0974,"Tlso, full corset",,,FALSE,C0499448,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0970-L0999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8863,"Patients not assessed for risk of bone loss, reason not given",,,FALSE,C3248597,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4264,Permanent implantable contraceptive intratubal occlusion device(s) and delivery system,,,FALSE,C2729429,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20100101,0,Z2=Undefined codes,I=Not payable by Medicare,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1874,"Stent, coated/covered, with delivery system",,,FALSE,C0993779,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6000,"Partial hand, thumb remaining",,,FALSE,C0499991,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6000-L6037,N=No maintenance for this code,20120101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4500,"Surgical stockings below knee length, each",,,FALSE,C0497863,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2079|2100,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0330,"Injection, succinylcholine chloride, up to 20 mg",,,FALSE,C0498762,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5988,"Addition to lower limb prosthesis, vertical shock reducing pylon feature",,,FALSE,C0694978,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,20000101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19990101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4164-B5200,Parenteral Nutrition Solutions and Supplies,,,FALSE,C0812895,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20B4000-B9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2783,"Injection, rasburicase, 0.5 mg",,,FALSE,C1314420,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20040101,0,O1E=Other drugs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6444,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard",,,FALSE,C1314246,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6413-A6461,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4620,Variable concentration mask,,,FALSE,C0497879,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4611-A4629,N=No maintenance for this code,20090101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19900101,60-4,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),3312,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0205,"Injection, alglucerase, per 10 units",,,FALSE,C0498751,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19930101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9382,Patient not offered assistance with end of life issues or existing end of life plan was not reviewed or updated during the measurement period,,,FALSE,C3871295,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A6560,"Gradient compression stocking, full length/chap style, 30-40 mmhg, custom, each",,,FALSE,C5883902,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A0180,Non-emergency transportation: ancillary: lodging-recipient,,,FALSE,C0497723,http://purl.bioontology.org/ontology/STY/T057,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,19820101,0,O1A=Ambulance,I=Not payable by Medicare,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T057
http://purl.bioontology.org/ontology/HCPCS/G0546,"Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, including a verbal and written report to the patient's treating/requesting practitioner; 5-10 minutes of medical consultative discussion and review",,,FALSE,C5974179,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0191,"Heel or elbow protector, each",,,FALSE,C0498388,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0181-E0199,N=No maintenance for this code,19960101,0,D1E=Other DME,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",,,FALSE,C1144922,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0256,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",,,FALSE,C0498756,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20120101,0,O1E=Other drugs,D=Special coverage instructions apply,19890101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S5150,"Unskilled respite care, not hospice; per 15 minutes",,,FALSE,C1314572,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J7515,"Cyclosporine, oral, 25 mg",,,FALSE,C0812745,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20000101,0,O1E=Other drugs,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,G=Immunosuppressive drugs|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9223,"Injection, lurbinectedin, 0.1 mg",,,FALSE,C5439754,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20210101,0,O1D=Chemotherapy,C=Carrier judgment,20210101,,,A=Not applicable as HCPCS priced under one methodology,,20210101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J3315,"Injection, triptorelin pamoate, 3.75 mg",,,FALSE,C1145204,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20030101,0,O1E=Other drugs,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A5105,"Urinary suspensory with leg bag, with or without tube, each",,,FALSE,C0497957,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5102-A5200,N=No maintenance for this code,20080101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",,,FALSE,C0497941,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5051-A5093,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L7368,"Lithium ion battery charger, replacement only",,,FALSE,C1145293,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7360-L7368,N=No maintenance for this code,20120101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4562,"Pessary, reusable, non rubber, any type",,,FALSE,C5974083,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20240401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6598,"Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each",,,FALSE,C5883938,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6593-A6611,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3976,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",,,FALSE,C1616847,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3975-L3978,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5650,"Additions to lower extremity, total contact, above knee or knee disarticulation socket",,,FALSE,C0499894,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T2037,"Therapeutic camping, day, waiver; each session",,,FALSE,C1314637,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A9560,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries",,,FALSE,C1619358,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/Q4314,"Reeva ft, per square cenitmeter",,,FALSE,C5974391,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/M1183,Documentation of immune checkpoint inhibitor therapy held and corticosteroids or immunosuppressants prescribed or administered,,,FALSE,C5771689,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J3489,"Injection, zoledronic acid, 1 mg",,,FALSE,C3710458,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/H0042,"Foster care, child, non-therapeutic, per month",,,FALSE,C1145175,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0913-G0918,Quality Care Measures: Cataract Surgery,,,FALSE,C4542601,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0017-G0018,Crisis Psychotherapy,,,FALSE,C3702424,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0595,"Injection, butorphanol tartrate, 1 mg",,,FALSE,C0812769,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20040101,0,O1E=Other drugs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C2624,"Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components",,,FALSE,C3871242,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2617-C2631,N=No maintenance for this code,20180101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),F=Ambulatory surgical center (facility usage for surgical services)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S8431,"Compression bandage, roll",,,FALSE,C0994191,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0135,"Walker, folding (pickup), adjustable or fixed height",,,FALSE,C0498358,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0130-E0155,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A2025,"Miro3d, per cubic centimeter",,,FALSE,C5883879,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20231001,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G0372,Physician service required to establish and document the need for a power mobility device,,,FALSE,C1616303,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20051025,0,M5D=Specialist - other,D=Special coverage instructions apply,20051025,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",0128=THIS CODE IS AN ADD ON CODE USED IN ADDITION TO E/M CODE ONLY. INFORMATION CAN BE FOUND IN 42 CFR PART 410 PAGE 50941.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0659-G0659,Drug Test,,,FALSE,C0038577,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/G9358,"Post-partum screenings, evaluations and education not performed",,,FALSE,C3710448,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L7700-L8499,Prosthetic Procedures - General,,,FALSE,C3534888,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L5000-L9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/P9047,"Infusion, albumin (human), 25%, 50 ml",,,FALSE,C0500288,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20020101,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1751,"Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis)",,,FALSE,C0993745,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0464,"Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment",,,FALSE,C1145259,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0032,"Two or more antipsychotic prescriptions ordered for patients who had a diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder on or between january 1 of the year prior to the measurement period and the index prescription start date (ipsd) for antipsychotics",,,FALSE,C5574459,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",,,FALSE,C0812615,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1335,"Injection, ertapenem sodium, 500 mg",,,FALSE,C1314414,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20040101,0,O1E=Other drugs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2787,"Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml",,,FALSE,C4759636,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J3055,"Injection, talquetamab-tgvs, 0.25 mg",,,FALSE,C5883977,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,20240401,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q5109,"Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg",,,FALSE,C4746506,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20190101,0,O1E=Other drugs,D=Special coverage instructions apply,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0187=PUB. 100-4, CHAPTER 17.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2145,Functional status measured by the oswestry disability index (odi version 2.1a) at three months (6 - 20 weeks) postoperatively was greater than 22 and functional status measured by the odi version 2.1a within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated an improvement of less than 30 points,,,FALSE,C5229107,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf",,,FALSE,C3710490,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0641-L0642,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q2004,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml",,,FALSE,C0919129,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,N=No maintenance for this code,20240101,0,O1E=Other drugs,D=Special coverage instructions apply,20000701,,,A=Not applicable as HCPCS priced under one methodology,2049,20240101,,YY,51=Drugs,,1861S2B,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9642,"Current smoker (e.g., cigarette, cigar, pipe, e-cigarette or marijuana)",,,FALSE,C4067561,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L0640,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, custom fabricated",,,FALSE,C1616335,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0628-L0640,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2312,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens",,,FALSE,C0500369,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9106,"Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; post r1 or r2 resection with no evidence of disease progression, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1621003,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A8002,"Helmet, protective, soft, custom fabricated, includes all components and accessories",,,FALSE,C1736661,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A8000-A8004,N=No maintenance for this code,20070101,0,D1E=Other DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,45=Customized DME items,,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2397,"Addition to lower extremity orthosis, suspension sleeve",,,FALSE,C0499593,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8841,"Sleep apnea symptoms not assessed, reason not given",,,FALSE,C3248577,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L8002,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type",,,FALSE,C0993986,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8000-L8039,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20020101,,,A=Not applicable as HCPCS priced under one methodology,2130A,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8866,"Documentation of patient reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient refusal)",,,FALSE,C3248600,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L7008,"Electric hand, switch or myoelectric, controlled, pediatric",,,FALSE,C1742225,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7007-L7045,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1225,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each",,,FALSE,C0498610,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1220-E1228,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-6,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0117,"Crutch, underarm, articulating, spring assisted, each",,,FALSE,C1145080,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0110-E0118,N=No maintenance for this code,20140401,0,D1E=Other DME,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8849,"Documentation of reason(s) for not prescribing positive airway pressure therapy (e.g., patient unable to tolerate, alternative therapies use, patient declined, financial, insurance coverage)",,,FALSE,C3248583,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J9352,"Injection, trabectedin, 0.1 mg",,,FALSE,C4316088,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20170101,0,O1D=Chemotherapy,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,20170101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L2492,"Addition to knee joint, lift loop for drop lock ring",,,FALSE,C0499599,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2405-L2492,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9056,"Injection, bendamustine hydrochloride (vivimusta), 1 mg",,,FALSE,C5884089,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20230701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0617,External defibrillator with integrated electrocardiogram analysis,,,FALSE,C0918992,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0607-E0620,N=No maintenance for this code,20010101,0,D1E=Other DME,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,9=Other medical items or services|R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A2021,"Neomatrix, per square centimeter",,,FALSE,C5883875,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20230401,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/S4013,"Complete cycle, gamete intrafallopian transfer (gift), case rate",,,FALSE,C1145319,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L8042,"Orbital prosthesis, provided by a non-physician",,,FALSE,C0919102,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8040-L8049,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8950,"Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented",,,FALSE,C3534760,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20220101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4212,"Allogen, per cc",,,FALSE,C5229203,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/C1761,"Catheter, transluminal intravascular lithotripsy, coronary",,,FALSE,C5541097,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20210701,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20210701,,,A=Not applicable as HCPCS priced under one methodology,,20210701,,YY,53=Statute,,1833(t),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P9032,"Platelets, irradiated, each unit",,,FALSE,C0919112,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20010101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2455,,,,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0761,"Non-thermal pulsed high frequency radiowaves, high peak power electromagnetic energy treatment device",,,FALSE,C1145095,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20050101,0,D1E=Other DME,D=Special coverage instructions apply,20030101,35-102,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1600-L1690,Hip Orthotics: Flexible,,,FALSE,C2368637,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1600-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4196,"Puraply am, per square centimeter",,,FALSE,C4746492,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each",,,FALSE,C1971043,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20160701,0,D1D=Wheelchairs,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",,,FALSE,C1509023,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20090701,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2100.5,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1951,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg",,,FALSE,C5574557,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20210701,0,O1E=Other drugs,C=Carrier judgment,20210701,,,A=Not applicable as HCPCS priced under one methodology,,20210701,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S5110,"Home care training, family; per 15 minutes",,,FALSE,C1314556,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9562,"Home injectable therapy, palivizumab or other monoclonal antibody for rsv, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C5884277,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9490-S9810,N=No maintenance for this code,20230401,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2199,Patient not screened for unhealthy alcohol use using a systematic screening method,,,FALSE,C5439712,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J7309,"Methyl aminolevulinate (mal) for topical administration, 16.8%, 1 gram",,,FALSE,C2959264,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7308-J7309,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,0165=PUB 100.3 250.4 (IOM).,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0511-G0512,Rural Health Clinic: Management and Care,,,FALSE,C4542599,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9416,"Patient had one tetanus, diphtheria toxoids and acellular pertussis vaccine (tdap) on or between the patient's 10th and 13th birthdays",,,FALSE,C3871322,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J7354,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg)",,,FALSE,C5883978,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7330-J7402,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,20240401,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L2660,"Addition to lower extremity, thoracic control, thoracic band",,,FALSE,C0499620,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2570-L2680,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0588,"Injection, incobotulinumtoxin a, 1 unit",,,FALSE,C2958914,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20120101,0,O1E=Other drugs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,20120101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L2570,"Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each",,,FALSE,C0499608,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2570-L2680,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0524,"Management of established patient-caregiver dyad with dementia, low complexity, for use in cmmi model",,,FALSE,C5974157,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0519-G0531,N=No maintenance for this code,20240701,0,Z2=Undefined codes,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0712,"Injection, ceftaroline fosamil, 10 mg",,,FALSE,C3248392,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1017,"Heavy duty shock absorber for heavy duty or extra heavy duty manual wheelchair, each",,,FALSE,C1145102,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20030101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,60.9,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1010,"Injection, methylprednisolone acetate, 1 mg",,,FALSE,C5974238,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,D=Special coverage instructions apply,20240401,,,A=Not applicable as HCPCS priced under one methodology,2049,20250101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9598,"Positron emission tomography radiopharmaceutical, diagnostic, for non-tumor identification, not otherwise classified",,,FALSE,C4316283,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20170101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/G2011,"Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes",,,FALSE,C4746320,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20201001,0,M1B=Office visits - established,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L1650,"Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment",,,FALSE,C0499489,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1600-L1690,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9915,No record of hbv results documented,,,FALSE,C4542745,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J9210,"Injection, emapalumab-lzsg, 1 mg",,,FALSE,C5229013,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20191001,0,O1D=Chemotherapy,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,20191001,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2820,"Injection, sargramostim (gm-csf), 50 mcg",,,FALSE,C0520148,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19980101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9316,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg",,,FALSE,C5439758,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20210101,0,O1D=Chemotherapy,C=Carrier judgment,20210101,,,A=Not applicable as HCPCS priced under one methodology,,20210101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6540,"Gradient compression stocking, waist length, 30-40 mmhg, each",,,FALSE,C0694982,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8754,Most recent diastolic blood pressure < 90 mmhg,,,FALSE,C2729232,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A0392,Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances),,,FALSE,C0497761,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20140101,0,O1A=Ambulance,I=Not payable by Medicare,19950101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2250,"Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment",,,FALSE,C5439729,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,M5D=Specialist - other,C=Carrier judgment,20210101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4608,"Transtracheal oxygen catheter, each",,,FALSE,C0877798,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20140101,0,D1C=Oxygen and supplies,C=Carrier judgment,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9462,"Injection, delafloxacin, 1 mg",,,FALSE,C4722202,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20220101,0,O1E=Other drugs,D=Special coverage instructions apply,20180401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),F=Ambulatory surgical center (facility usage for surgical services)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0639,"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories",,,FALSE,C1508917,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0621-E0642,N=No maintenance for this code,20070101,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0155,"Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",,,FALSE,C5974374,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0138-Q0249,N=No maintenance for this code,20250101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,4557,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7201,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u.",,,FALSE,C3871251,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20170101,0,O1E=Other drugs,D=Special coverage instructions apply,20150101,,,A=Not applicable as HCPCS priced under one methodology,2049,20150101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2798,"Injection, risperidone, (perseris), 0.5 mg",,,FALSE,C4722151,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20220101,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9602,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch",,,FALSE,C3534811,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9600-C9610,N=No maintenance for this code,20130101,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,"0107=PAYMENT IS FOR HOSPITAL OUTPATIENT ONLY. NOT PAYABLE UNDER THE PHYSICIAN FEE SCHEDULE; IN ACCORDANCE WITH FR DATE 8/9/2002 (HOPPS), PAGE 52105.",1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5999,"Lower extremity prosthesis, not otherwise specified",,,FALSE,C0520226,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,19980101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9906,Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy),,,FALSE,C4542740,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J1426,"Injection, casimersen, 10 mg",,,FALSE,C5551181,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20211001,0,O1E=Other drugs,C=Carrier judgment,20211001,,,A=Not applicable as HCPCS priced under one methodology,,20211001,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4169,"Artacent wound, per square centimeter",,,FALSE,C4316082,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",,,FALSE,C1508920,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,20140401,0,D1E=Other DME,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0494,"Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only",,,FALSE,C1618386,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q2037,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)",,,FALSE,C2959300,http://purl.bioontology.org/ontology/STY/T129,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,N=No maintenance for this code,20140101,0,O1G=Immunizations/Vaccinations,D=Special coverage instructions apply,20110101,,,A=Not applicable as HCPCS priced under one methodology,2049.4,,,,54=Vaccinations,,,"V=Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95",,,,http://purl.bioontology.org/ontology/STY/T129
http://purl.bioontology.org/ontology/HCPCS/L5500,"Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed",,,FALSE,C0499850,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5500-L5505,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A7520,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each",,,FALSE,C1314260,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7501-A7527,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6208,"Contact layer, sterile, more than 48 sq. in., each dressing",,,FALSE,C0520033,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0173,"Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",,,FALSE,C0694998,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0138-Q0249,N=No maintenance for this code,19980401,0,O1D=Chemotherapy,D=Special coverage instructions apply,19980401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,4557,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S8131,"Interferential current stimulator, 4 channel",,,FALSE,C3248679,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8096-S8210,N=No maintenance for this code,20120101,0,Z2=Undefined codes,I=Not payable by Medicare,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1628,"Injection, guselkumab, 1 mg",,,FALSE,C4542688,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9181,"Injection, etoposide, 10 mg",,,FALSE,C0499127,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19870101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9025,"Injection, azacitidine, 1 mg",,,FALSE,C1618891,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20230101,0,O1D=Chemotherapy,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0174,"Injection, lecanemab-irmb, 1 mg",,,FALSE,C5884020,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230706,0,O1E=Other drugs,C=Carrier judgment,20230706,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,20230706,,YY,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1875,"Stent, coated/covered, without delivery system",,,FALSE,C0993780,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2630,"Addition to lower extremity, pelvic control, band and belt, unilateral",,,FALSE,C0499617,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2570-L2680,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1340,Index assessment completed using the 12-item whodas 2.0 or sds during the denominator identification period,,,FALSE,C5884203,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C8931,"Magnetic resonance angiography with contrast, spinal canal and contents",,,FALSE,C3203447,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8931-C8937,N=No maintenance for this code,20101001,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20101001,,,A=Not applicable as HCPCS priced under one methodology,,20101001,,YY,53=Statute,,1833(t),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G0177,Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more),,,FALSE,C0919004,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20240101,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0102=SERVICES REPRESENTED BY G0176 AND G0177 MAY BE REPORTED BY HOPD AND PARTIAL HOSPITALIZATION PROGRAMS ONLY (1861FF).,,U=Occupational therapy,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4343,"Dermacyte ac matrix amniotic membrane allograft, per square centimeter",,,FALSE,C5974420,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20241001,0,O1E=Other drugs,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J2401,"Injection, chloroprocaine hydrochloride, per 1 mg",,,FALSE,C5702967,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,2049,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S8999,Resuscitation bag (for use by patient on artificial respiration during power failure or other catastrophic event),,,FALSE,C0919213,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1891,"Infusion pump, non-programmable, permanent (implantable)",,,FALSE,C0993790,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9396,Patient with an initial phq-9 score greater than nine who was not assessed for remission at twelve months (+/- 30 days),,,FALSE,C3871306,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6350-L6370,Prosthetic Procedures - Interscapular Thoracic,,,FALSE,C0813092,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9130,"Dacarbazine, 100 mg",,,FALSE,C0499124,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20040101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S5102,"Day care services, adult; per diem",,,FALSE,C1314552,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0054,Coordinating stroke care to promote prevention and cultivate positive outcomes mips value pathways,,,FALSE,C5574479,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3710,"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf",,,FALSE,C3710522,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3702-L3766,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9486,"Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a problem focused history; a problem focused examination; straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology",,,FALSE,C4316253,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20160401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0206=THIS SERVICE IS PART OF A DEMONSTRATION PROJECT.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9737,"Patient unable to complete the elbow/wrist/hand fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available",,,FALSE,C4746377,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q0085,"Chemotherapy administration by both infusion technique and other technique(s) (e.g., subcutaneous, intramuscular, push), per visit",,,FALSE,C0500263,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0083-Q0085,N=No maintenance for this code,19960101,0,O1D=Chemotherapy,C=Carrier judgment,19920101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0041=SEE MEDICARE INTERMEDIARY MANUAL SECTION 3112.4 (Q0081, Q0083, Q0084, Q0085).",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0120,"Injection, tetracycline, up to 250 mg",,,FALSE,C0498747,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q1004,New technology intraocular lens category 4 as defined in federal register notice,,,FALSE,C0812767,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q1004-Q1005,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19990701,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,"0086=Q1001, Q1002, Q1003, Q1004, AND Q1005 MUST BE BILLED WITH ONE OF THE FOLLOWING PROCEDURE CODES - 66983, 66984, 66985 OR 66986 BY ASC.",,F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9273,"Injection, tisotumab vedotin-tftv, 1 mg",,,FALSE,C5771640,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20220401,0,O1D=Chemotherapy,C=Carrier judgment,20220401,,,A=Not applicable as HCPCS priced under one methodology,,20220401,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9333,"Injection, rozanolixizumab-noli, 1 mg",,,FALSE,C5884106,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240101,0,O1D=Chemotherapy,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",,,FALSE,C0499301,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20000101,0,D1E=Other DME,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3984,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment",,,FALSE,C0499794,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3980-L3999,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9787,Patient alive as of the last day of the measurement year,,,FALSE,C4316166,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3678,"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf",,,FALSE,C3710521,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3650-L3678,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1832,"Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories",,,FALSE,C5979721,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,A=Add procedure or modifier code,20250401,0,D1E=Other DME,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9347,"Follow-up recommendations not documented according to recommended guidelines for incidentally detected pulmonary nodules, reason not given",,,FALSE,C3710437,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J0491,"Injection, anifrolumab-fnia, 1 mg",,,FALSE,C5574447,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20220401,0,O1E=Other drugs,C=Carrier judgment,20220401,,,A=Not applicable as HCPCS priced under one methodology,,20220401,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S3841,Genetic testing for retinoblastoma,,,FALSE,C1314537,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S3800-S3870,N=No maintenance for this code,20030701,0,Z2=Undefined codes,I=Not payable by Medicare,20030701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/G8452,Beta-blocker therapy not prescribed,,,FALSE,C1971293,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4245,"Amniotext, per cc",,,FALSE,C5439788,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L6635,"Upper extremity addition, lift assist for elbow",,,FALSE,C0500037,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2140,Leg pain measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively was less than or equal to 3.0 or leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated an improvement of 5.0 points or greater,,,FALSE,C5229102,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A5501,"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe",,,FALSE,C0520233,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5500-A5514,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2134,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,J=Diabetic shoes (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4257,"Relese, per square centimeter",,,FALSE,C5771715,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20220401,0,O1E=Other drugs,C=Carrier judgment,20220401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9299,"Patients who are not evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure (e.g., history of dvt, pe, mi, arrhythmia and stroke, reason not given)",,,FALSE,C3710400,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20210101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L2390,"Addition to lower extremity, offset knee joint, each joint",,,FALSE,C0499591,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",,,FALSE,C0520057,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20110101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4339,"Artacent vericlen, per square centimeter",,,FALSE,C5974416,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20241001,0,O1E=Other drugs,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J2250,"Injection, midazolam hydrochloride, per 1 mg",,,FALSE,C0498933,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19960101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8577,"Re-exploration required due to mediastinal bleeding with or without tamponade, unplanned coronary artery intervention (native, vessel, graft, or both), valve dysfunction, aortic reintervention, or other cardiac reason",,,FALSE,C2729219,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9191,"Documentation of patient reason(s) for not prescribing beta-blocker therapy (eg, patient declined, other patient reasons)",,,FALSE,C3710295,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0472,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s)",,,FALSE,C3871274,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0471-G0476,N=No maintenance for this code,20160101,0,P5E=Ambulatory procedures - other,D=Special coverage instructions apply,20140602,,220=General immunology,A=Not applicable as HCPCS priced under one methodology,,,,,"21=Price subject to national limitation amount|13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)","0199=SEE CR 8871, SERVICE IS APPROVED PER NCD COVERAGE; RESTRICTIVE GUIDELINES.",1861SSA,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/S3904,Masters two step,,,FALSE,C0919186,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S3900-S3904,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q5001,Hospice or home health care provided in patient's home/residence,,,FALSE,C3710571,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5001-Q5010,N=No maintenance for this code,20130701,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0133=SEE ONLINE MANUAL 100-02.9.,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1237,"Wheelchair, pediatric size, rigid, adjustable, without seating system",,,FALSE,C1145117,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1229-E1239,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,D=Special coverage instructions apply,20030101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2623,"Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth",,,FALSE,C2958936,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2622-E2625,N=No maintenance for this code,20110101,0,D1D=Wheelchairs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M0005,Value in primary care mips value pathway,,,FALSE,C5884115,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9992,"Transportation costs to and from trial location and local transportation costs (e.g., fares for taxicab or bus) for clinical trial participant and one caregiver/companion",,,FALSE,C0812872,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9900-S9999,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9538,"Home transfusion of blood product(s); administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (blood products, drugs, and nursing visits coded separately), per diem",,,FALSE,C0994264,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9490-S9810,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0219,Pet imaging whole body; melanoma for non-covered indications,,,FALSE,C0993901,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20010701,0,I4B=Imaging/procedure - other,M=Non-covered by Medicare,20010701,50-36,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4173,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1220,"Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification",,,FALSE,C0498605,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1220-E1228,N=No maintenance for this code,19900101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-6,,A=Not applicable as HCPCS priced under one methodology,,,,,45=Customized DME items,,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9659,"Patients greater than or equal to 86 years of age who underwent a screening colonoscopy and did not have a history of colorectal cancer or other valid medical reason for the colonoscopy, including: iron deficiency anemia, lower gastrointestinal bleeding, familial adenomatous polyposis, lynch syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease (i.e., crohn's disease or ulcerative colitis), abnormal finding of gastrointestinal tract, weight loss, or changes in bowel habits",,,FALSE,C5974207,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9547,"Cystic renal lesion that is simple appearing (bosniak i or ii) , or adrenal lesion less than or equal to 1.0 cm or adrenal lesion greater than 1.0 cm but less than or equal to 4.0 cm classified as likely benign by unenhanced ct or washout protocol ct, or mri with in- and opposed-phase sequences or other equivalent institutional imaging protocols",,,FALSE,C5229141,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J3365,"Injection, iv, urokinase, 250,000 i.u. vial",,,FALSE,C0499024,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,19920101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",Q0089,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E2513,"Accessory for speech generating device, electromyographic sensor",,,FALSE,C5974149,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2500-E2599,N=No maintenance for this code,20241001,0,D1E=Other DME,D=Special coverage instructions apply,20241001,60-23,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9353,"Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length",,,FALSE,C1971567,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20080101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,621MMA,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0725,"Injection, chorionic gonadotropin, per 1,000 usp units",,,FALSE,C0498805,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2313,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens",,,FALSE,C0500370,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E1160,"Wheelchair, fixed full length arms, swing away detachable elevating legrests",,,FALSE,C0498593,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1130-E1161,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2331,"Power wheelchair accessory, attendant control, proportional, including all related electronics and fixed mounting hardware",,,FALSE,C1314352,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2797,"Injection, rolapitant, 0.5 mg",,,FALSE,C4722150,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,D=Special coverage instructions apply,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0127=PUBLICATION 100.2, CHAPTER 15, 50.1.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4355,"Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter",,,FALSE,C5979758,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/K0891,"Power wheelchair, group 5 pediatric, multiple power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds",,,FALSE,C1737762,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0454,"Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710472,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H2030,"Mental health clubhouse services, per 15 minutes",,,FALSE,C1314403,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G4037,Urology mips specialty set,,,FALSE,C5574540,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L4050,"Replace molded calf lacer, for custom fabricated orthosis only",,,FALSE,C0499804,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4000-L4210,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0044,Patients with moderate or severe mitral stenosis,,,FALSE,C5574470,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E2378,"Power wheelchair component, actuator, replacement only",,,FALSE,C3534802,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9844,Patient did not receive anti-egfr monoclonal antibody therapy,,,FALSE,C4316118,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4051,"Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)",,,FALSE,C0994046,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20010701,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0692,"Injection, cefepime hydrochloride, 500 mg",,,FALSE,C0993936,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20020101,0,O1E=Other drugs,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L8300,"Truss, single with standard pad",,,FALSE,C0500165,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8300-L8330,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,70-2|70-1,,A=Not applicable as HCPCS priced under one methodology,2133,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0620,Routine ophthalmological examination including refraction; new patient,,,FALSE,C0812802,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0601-S0622,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,Supplies for Radiology Procedures (Radiopharmaceuticals),,,FALSE,C2729301,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A9000-A9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8854,"Documentation of reason(s) for not objectively reporting adherence to evidence-based therapy (e.g., patients who have been diagnosed with a terminal or advanced disease with an expected life span of less than 6 months, patients who decline therapy, patients who do not return for follow-up at least annually, patients unable to access/afford therapy, patient's insurance will not cover therapy)",,,FALSE,C5884011,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20240101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L7009,"Electric hook, switch or myoelectric controlled, adult",,,FALSE,C1741957,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7007-L7045,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1814,"Retinal tamponade device, silicone oil",,,FALSE,C1314278,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20030401,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20030401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833t,S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,Inhalation Solutions,,,FALSE,C1154181,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J0100-J8999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J3471,"Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units)",,,FALSE,C1617350,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20060101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0123=PUBLICATION 100.2, CHAPTER 15, SS 502.",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0239,"Hydrocollator unit, portable",,,FALSE,C0498404,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0200-E0239,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,2210.3,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1182,"Patients not eligible due to pre-existing inflammatory bowel disease (ibd) (e.g., ulcerative colitis, crohn's disease)",,,FALSE,C5771688,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J1447,"Injection, tbo-filgrastim, 1 microgram",,,FALSE,C4067602,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,D=Special coverage instructions apply,20160101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,20160101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6638,"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow",,,FALSE,C1145288,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S2300,"Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy",,,FALSE,C0812819,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5654,"Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal)",,,FALSE,C0499898,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6575,"Gradient compression arm sleeve and glove combination, each",,,FALSE,C5883916,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9153,Mapcp demonstration - physician incentive pool,,,FALSE,C3534707,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9148-G9153,N=No maintenance for this code,20110701,0,Z2=Undefined codes,C=Carrier judgment,20110701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L8400,"Prosthetic sheath, below knee, each",,,FALSE,C0500169,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8400-L8485,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2133,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9067,"Gallium ga-68, dotatoc, diagnostic, 0.01 mci",,,FALSE,C5434068,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20250101,0,O1E=Other drugs,D=Special coverage instructions apply,20201001,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,53=Statute,,1833(t),9=Other medical items or services|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0466,"Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit",,,FALSE,C3871268,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0466-G0470,N=No maintenance for this code,20141001,0,M1A=Office visits - new,C=Carrier judgment,20141001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S5100,"Day care services, adult; per 15 minutes",,,FALSE,C1314550,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G2142,Functional status measured by the oswestry disability index (odi version 2.1a) at one year (9 to 15 months) postoperatively was less than or equal to 22 or functional status measured by the odi version 2.1a within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated an improvement of 30 points or greater,,,FALSE,C5229104,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9794,"Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet (e.g., history of gastrointestinal bleed, intra-cranial bleed, idiopathic thrombocytopenic purpura (itp), gastric bypass or documentation of active anticoagulant use during the measurement period)",,,FALSE,C4316159,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E1814,"Dynamic adjustable knee flexion only device, includes soft interface material",,,FALSE,C5974139,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20250101,0,D1E=Other DME,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0194,"Dialysis/stress vitamin supplement, oral, 100 capsules",,,FALSE,C1509085,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20040401,0,Z2=Undefined codes,I=Not payable by Medicare,20040401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1556,"Injection, immune globulin (bivigam), 500 mg",,,FALSE,C3710274,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,20140101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6605,"Upper extremity additions, single pivot hinge, pair",,,FALSE,C0500026,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5651,"Addition to lower extremity, above knee, flexible inner socket, external frame",,,FALSE,C0499895,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0081,"Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)",,,FALSE,C4722494,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0068-G0090,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L8701,"Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated",,,FALSE,C4746427,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8690-L9900,N=No maintenance for this code,20240101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S5520,"Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (picc) line insertion",,,FALSE,C0994158,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5497-S5523,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J3304,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg",,,FALSE,C4722459,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,D=Special coverage instructions apply,20190101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,"0127=PUBLICATION 100.2, CHAPTER 15, 50.1.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2794,"Injection, risperidone (risperdal consta), 0.5 mg",,,FALSE,C5229160,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0327,Colorectal cancer screening; blood-based biomarker,,,FALSE,C5574493,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20210701,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20210701,,310=Routine chemistry,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,0224=SEE NCD 210.3 - SCREENING FOR COLORECTAL CANCER (CRC)-BLOOD-BASED BIOMARKER TESTS.,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0225,"Injection, vutrisiran, 1 mg",,,FALSE,C5771602,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230101,0,O1E=Other drugs,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1113,"Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record",,,FALSE,C5203711,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0162,Sitz bath chair,,,FALSE,C0179870,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0160-E0162,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5172,"Hearing aid, contralateral routing device, monaural, in the canal (itc)",,,FALSE,C4746512,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20190101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5848,"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability",,,FALSE,C1145285,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",,,FALSE,C1971356,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20080101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G6016,"Compensator-based beam modulation treatment delivery of inverse planned treatment using 3 or more high resolution (milled or cast) compensator, convergent beam modulated fields, per treatment session",,,FALSE,C1504220,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G6003-G6017,N=No maintenance for this code,20150101,0,P7A=Oncology - radiation therapy,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A9572,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries",,,FALSE,C1971405,http://purl.bioontology.org/ontology/STY/T197|http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T197|http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/G9288,"Documentation of medical reason(s) for not reporting the histological type or nsclc-nos classification with an explanation (e.g., a solitary fibrous tumor in a person with a history of non-small cell carcinoma or other documented medical reasons)",,,FALSE,C3710391,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/H2013,"Psychiatric health facility service, per diem",,,FALSE,C1314386,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0430,"Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing",,,FALSE,C0498442,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,19930101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19860101,60-4,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4107.9,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4173,"Palingen or palingen xplus, per square centimeter",,,FALSE,C4316068,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J9393,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg",,,FALSE,C5771646,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3580,"Orthopedic shoe addition, convert instep to velcro closure",,,FALSE,C0499719,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3500-L3595,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T4527,"Adult sized disposable incontinence product, protective underwear/pull-on, large size, each",,,FALSE,C1509109,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20050101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0056,"Seat height less than 17"" or equal to or greater than 21"" for a high strength, lightweight, or ultralightweight wheelchair",,,FALSE,C0499215,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,19990101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2395,"Addition to lower extremity, offset knee joint, heavy duty, each joint",,,FALSE,C0499592,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9529,Patient with minor blunt head trauma had an appropriate indication(s) for a head ct,,,FALSE,C4067478,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J9304,"Injection, pemetrexed (pemfexy), 10 mg",,,FALSE,C5439757,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20201001,0,O1E=Other drugs,C=Carrier judgment,20201001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9060,"Injection, cisplatin, powder or solution, 10 mg",,,FALSE,C0499108,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20110101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9997,Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter,,,FALSE,C5574549,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J1956,"Injection, levofloxacin, 250 mg",,,FALSE,C0694956,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19990101,0,O1E=Other drugs,D=Special coverage instructions apply,19990101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6218,"Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhesive border, each dressing",,,FALSE,C0497969,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1885,"Injection, ketorolac tromethamine, per 15 mg",,,FALSE,C0498910,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,D=Special coverage instructions apply,19930101,,,A=Not applicable as HCPCS priced under one methodology,2049,20250101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9575,"Injection, gadoterate meglumine, 0.1 ml",,,FALSE,C3710269,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20140101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1625,"Water softening system, for hemodialysis",,,FALSE,C0993866,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,55-1B,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A0424,"Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review)",,,FALSE,C0497767,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20140101,0,O1A=Ambulance,I=Not payable by Medicare,19950101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A9508,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie",,,FALSE,C0918335,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/S9999,Sales tax,,,FALSE,C0812875,http://purl.bioontology.org/ontology/STY/T078,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9900-S9999,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T078
http://purl.bioontology.org/ontology/HCPCS/G9938,"Patients aged 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the six months prior to the measurement period through december 31 of the measurement period",,,FALSE,C5203689,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0945,Extremity belt/harness,,,FALSE,C0498532,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,19960101,0,D1E=Other DME,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2001,"Brief (20 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)",,,FALSE,C5229037,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L0112,"Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated",,,FALSE,C1314460,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0112-L0174,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0111,"Wet mounts, including preparations of vaginal, cervical or skin specimens",,,FALSE,C0500271,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0111-Q0115,N=No maintenance for this code,20200101,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,19940101,,110=Bacteriology|120=Mycology|130=Parasitology|400=Hematology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/L1940,"Ankle foot orthosis, plastic or other material, custom fabricated",,,FALSE,C0499526,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1900-L1990,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0490,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote",,,FALSE,C5883991,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20231001,0,D1E=Other DME,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9595,"Piflufolastat f-18, diagnostic, 1 millicurie",,,FALSE,C5574435,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20220101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20220101,,,A=Not applicable as HCPCS priced under one methodology,,20220101,,YY,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/G9357,"Post-partum screenings, evaluations and education performed",,,FALSE,C3710447,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L3999,"Upper limb orthosis, not otherwise specified",,,FALSE,C0520224,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3980-L3999,N=No maintenance for this code,19980101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L7007,"Electric hand, switch or myoelectric controlled, adult",,,FALSE,C1743180,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7007-L7045,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2795,"Injection, ropivacaine hydrochloride, 1 mg",,,FALSE,C0919071,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20010101,0,O1E=Other drugs,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9700,"Supply of injectable contrast material for use in echocardiography, per study",,,FALSE,C0919125,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20010101,0,I1E=Standard imaging - nuclear medicine,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,15360,,,,57=Other carrier priced,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/K0890,"Power wheelchair, group 5 pediatric, single power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds",,,FALSE,C1738030,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6550,"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping",,,FALSE,C0500017,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6400-L6570,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19840101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4127,"Talymed, per square centimeter",,,FALSE,C3248672,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20160101,0,O1E=Other drugs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J2404,"Injection, nicardipine, 0.1 mg",,,FALSE,C5884071,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,D=Special coverage instructions apply,20240101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0083-Q0085,Chemotherapy Administration(CMS Temporary Codes),,,FALSE,C4316302,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9347,"Injection, tremelimumab-actl, 1 mg",,,FALSE,C5848372,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20230701,0,O1D=Chemotherapy,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20230701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5570,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed",,,FALSE,C0499858,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5510-L5600,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2141,Leg pain measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively was greater than 3.0 and leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated improvement of less than 5.0 points,,,FALSE,C5229103,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C8919,"Magnetic resonance angiography without contrast, pelvis",,,FALSE,C1314282,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8900-C8920,N=No maintenance for this code,20030701,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20030701,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,430 BIPA,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A4637,"Replacement, tip, cane, crutch, walker, each.",,,FALSE,C0497891,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4630-A4640,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19910101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1605,"Pacemaker, leadless, dual chamber (right atrial and right ventricular implantable components), rate-responsive, including all necessary components for implantation",,,FALSE,C5974091,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1052-C1715,N=No maintenance for this code,20240701,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20240701,,,A=Not applicable as HCPCS priced under one methodology,,20240701,,YY,53=Statute,,1833(t),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1714,"Catheter, transluminal atherectomy, directional",,,FALSE,C0993725,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1052-C1715,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0163-E0175,Commodes,,,FALSE,C1140607,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6677,"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow",,,FALSE,C1617867,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1160,"Injection, digoxin, up to 0.5 mg",,,FALSE,C0498839,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined",,,FALSE,C0499577,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C9762,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging",,,FALSE,C5439649,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20200701,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20200701,,YY,53=Statute,,1833(t),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/J9212,"Injection, interferon alfacon-1, recombinant, 1 microgram",,,FALSE,C0694965,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20140101,0,O1E=Other drugs,D=Special coverage instructions apply,19990101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4213,"Ascent, 0.5 mg",,,FALSE,C5229204,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J7306,"Levonorgestrel (contraceptive) implant system, including implants and supplies",,,FALSE,C1621009,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7294-J7307,N=No maintenance for this code,20060101,0,P6C=Minor procedures - other (Medicare fee schedule),I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1280,"Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests",,,FALSE,C0498619,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1280-E1298,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2779,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg",,,FALSE,C5771631,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20220701,0,O1E=Other drugs,C=Carrier judgment,20220701,,,A=Not applicable as HCPCS priced under one methodology,,20220701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2805,"Injection, sincalide, 5 micrograms",,,FALSE,C1618375,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20060101,0,O1E=Other drugs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q9958,"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml",,,FALSE,C1616347,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9950-Q9969,N=No maintenance for this code,20050701,0,I1E=Standard imaging - nuclear medicine,D=Special coverage instructions apply,20050701,,,A=Not applicable as HCPCS priced under one methodology,15022,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/E0441,"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit",,,FALSE,C2729173,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20100101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19930101,60-4,,A=Not applicable as HCPCS priced under one methodology,4107.9,,,,33=Oxygen and oxygen equipment (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3590,"Orthopedic shoe addition, convert firm shoe counter to soft counter",,,FALSE,C0499720,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3500-L3595,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4566,"Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment",,,FALSE,C2959345,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20110101,0,Z2=Undefined codes,I=Not payable by Medicare,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G4023,Pathology mips specialty set,,,FALSE,C5574526,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4372,"Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each",,,FALSE,C0812600,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1899,"Lead, pacemaker/cardioverter-defibrillator combination (implantable)",,,FALSE,C0993798,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0982,"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)",,,FALSE,C3710497,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0970-L0999,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0433,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening",,,FALSE,C2958951,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0432-G0435,N=No maintenance for this code,20130101,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,20091208,,140=Virology|220=General immunology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,0164=SEE CHANGE REQUEST 6786.,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6215,"Foam dressing, wound filler, sterile, per gram",,,FALSE,C0520181,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,S=Surgical dressings or other medical supplies (eff 04/95)|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1010,"Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling",,,FALSE,C0499455,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1000-L1120,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4336,"Incontinence supply, urethral insert, any type, each",,,FALSE,C2729430,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,20100101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20100101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)","0124=PUBLICATION 100.2, CHAPTER 15, SS 120.",,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0291,"Injection, plazomicin, 5 mg",,,FALSE,C4722108,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,20191001,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S8425,"Gradient pressure aid (glove), custom made, medium weight",,,FALSE,C0994185,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0197,"Prenatal vitamins, 30-day supply",,,FALSE,C1619412,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20050401,0,Z2=Undefined codes,I=Not payable by Medicare,20050401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2272,"Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg",,,FALSE,C5771625,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1223,Glaucoma plan of care documented,,,FALSE,C5848518,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V5257,"Hearing aid, digital, monaural, bte",,,FALSE,C0994306,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1805,"Dynamic adjustable wrist extension and flexion device, includes soft interface material",,,FALSE,C0498673,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20250101,0,D1E=Other DME,C=Carrier judgment,19960101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0390-G0390,Trauma Response Team,,,FALSE,C2729335,http://purl.bioontology.org/ontology/STY/T097,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T097
http://purl.bioontology.org/ontology/HCPCS/G8662,"Residual score for the low back impairment not measured because the patient did not complete the low back fs prom at initial evaluation and/or near discharge, reason not given",,,FALSE,C5229131,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J2765,"Injection, metoclopramide hcl, up to 10 mg",,,FALSE,C0498979,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9538,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries",,,FALSE,C1618850,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/A4755,"Blood tubing, arterial and venous combined, for hemodialysis, each",,,FALSE,C0497910,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9558,"Home injectable therapy; growth hormone, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994266,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9490-S9810,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1941,"Injection, furosemide (furoscix), 20 mg",,,FALSE,C5884062,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9524,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries",,,FALSE,C1145008,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1653,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf",,,FALSE,C5974299,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1600-L1690,N=No maintenance for this code,20241001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1920,"Injection, labetalol hydrochloride, 5 mg",,,FALSE,C5884060,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P3000-P3001,Pathology Screening Tests,,,FALSE,C0813125,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20P0000-P9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G9782,History of or active diagnosis of familial hypercholesterolemia,,,FALSE,C4316171,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A9608,"Flotufolastat f 18, diagnostic, 1 millicurie",,,FALSE,C5883958,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20240101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/J0608,"Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis)",,,FALSE,C5974226,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0215,"Electric heat pad, moist",,,FALSE,C0498395,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0200-E0239,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0959,"Manual wheelchair accessory, adapter for amputee, each",,,FALSE,C0498541,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0520,"Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg",,,FALSE,C0498775,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0612,"Annual gynecological examination, established patient",,,FALSE,C0812801,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0601-S0622,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/P9031,"Platelets, leukocytes reduced, each unit",,,FALSE,C0919111,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20010101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2455,,,,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/E0276,"Bed pan, fracture, metal or plastic",,,FALSE,C0498424,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8043,"Upper facial prosthesis, provided by a non-physician",,,FALSE,C0919103,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8040-L8049,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4155,"Neoxflo or clarixflo, 1 mg",,,FALSE,C3871393,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20150101,0,O1E=Other drugs,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L6895,"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated",,,FALSE,C0500103,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6890-L6915,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1357,"Oxygen accessory, battery charger for portable concentrator, any type, replacement only, each",,,FALSE,C2368681,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1352-E1406,N=No maintenance for this code,20090101,0,D1C=Oxygen and supplies,C=Carrier judgment,20090101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5190,"Hearing aid, contralateral routing, monaural, glasses",,,FALSE,C4746514,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20190101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0636,"Multipositional patient support system, with integrated lift, patient accessible controls",,,FALSE,C1145089,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0621-E0642,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0854,"Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more",,,FALSE,C1738569,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0862,"Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds",,,FALSE,C1738570,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9315,"Amoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the time of diagnosis",,,FALSE,C5771597,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0885,"Injection, epoetin alfa, (for non-esrd use), 1000 units",,,FALSE,C1616330,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20060101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8395,Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic function,,,FALSE,C1971241,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20080101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",,,FALSE,C0497839,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4356-A4360,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1258,"Cvd risk assessment performed, have a documented calculated risk score",,,FALSE,C5884163,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L2180,"Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints",,,FALSE,C0499561,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2180-L2192,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9433,"Medical food nutritionally complete, administered orally, providing 100% of nutritional intake",,,FALSE,C2368518,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20090101,0,Z2=Undefined codes,I=Not payable by Medicare,20090101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/B4224,"Parenteral nutrition administration kit, per day",,,FALSE,C0498001,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4164-B5200,N=No maintenance for this code,20020101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19860101,65-10,,A=Not applicable as HCPCS priced under one methodology,2130|4450,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2180-L2192,Additions to Fracture Orthotics,,,FALSE,C2368639,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1600-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C8934,"Magnetic resonance angiography with contrast, upper extremity",,,FALSE,C2958898,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8931-C8937,N=No maintenance for this code,20101001,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20101001,,,A=Not applicable as HCPCS priced under one methodology,,20101001,,YY,53=Statute,,1833(t),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/E0435,"Portable liquid oxygen system, purchase; includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and refill adaptor",,,FALSE,C0498445,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,19930101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19860101,60-4,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4107.9,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4050,"Cast supplies, for unlisted types and materials of casts",,,FALSE,C0994045,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20010701,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9685,Physician service or other qualified health care professional for the evaluation and management of a beneficiary's acute change in condition in a nursing facility. this service is for a demonstration project,,,FALSE,C4316239,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20161001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C7553,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed",,,FALSE,C5771566,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20240101,0,P2F=Major procedure - cardiovascular - Other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/J7668,"Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 10 milligrams",,,FALSE,C0520211,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9049,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg",,,FALSE,C5771639,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20230101,0,O1D=Chemotherapy,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0067,Dentistry mips specialty set,,,FALSE,C5574492,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5812,"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)",,,FALSE,C0499955,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T4522,"Adult sized disposable incontinence product, brief/diaper, medium, each",,,FALSE,C1509104,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20050101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4018,"Cast supplies, long arm splint, adult (11 years +), fiberglass",,,FALSE,C0994013,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0791,"Parenteral infusion pump, stationary, single or multi-channel",,,FALSE,C0498516,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0776-E0791,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19890101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4216,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml",,,FALSE,C1314216,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9131,"Physical therapy; in the home, per diem",,,FALSE,C0994200,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2523,"Contact lens, hydrophilic, extended wear, per lens",,,FALSE,C0500393,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2500-V2599,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,45-7|65-1,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A0396,Als specialized service disposable supplies; esophageal intubation,,,FALSE,C0497763,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20140101,0,O1A=Ambulance,I=Not payable by Medicare,19950101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20V0000-V5999,V Codes,,,FALSE,C0221445,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/MTHU000323,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/E3000,"Speech volume modulation system, any type, including all components and accessories",,,FALSE,C5439762,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E3000-E3200,N=No maintenance for this code,20240101,0,D1E=Other DME,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H2032,"Activity therapy, per 15 minutes",,,FALSE,C1314405,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",,,FALSE,C0497798,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,19980701,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-11,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q3031,Collagen skin test,,,FALSE,C1314487,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q3031-Q3031,N=No maintenance for this code,20041001,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20030401,65-9,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/E0168,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each",,,FALSE,C0918987,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0163-E0175,N=No maintenance for this code,20010101,0,D1E=Other DME,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8600-L8600,Prosthetic Implants - Breast,,,FALSE,C0179412,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L8500-L9900,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5648,"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket",,,FALSE,C0499892,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A9273,"Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type",,,FALSE,C4746279,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20190101,0,Z2=Undefined codes,M=Non-covered by Medicare,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0137=PUBLICATION 100-03, CHAPTER 1, SECTION 280.1 (100.03, 1, 280.1).",,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",,,FALSE,C1145199,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20030101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E2631,"Wheelchair accessory, addition to mobile arm support, elevating proximal arm",,,FALSE,C0499789,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2626-E2633,N=No maintenance for this code,20120101,0,D1D=Wheelchairs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0011,"Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking",,,FALSE,C0499172,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,19970505,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1201,"Documentation of medical reason(s) for not prescribing ace inhibitor (ace-i) or arb therapy during the measurement period (e.g., pregnancy, history of angioedema to ace-i, other allergy to ace-i and arb, hyperkalemia or history of hyperkalemia while on ace-i or arb therapy, acute kidney injury due to ace-i or arb therapy), other medical reasons)",,,FALSE,C5771703,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6050-L6055,Prosthetic Procedures - Wrist Disarticulation,,,FALSE,C0813087,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2005,"Extensive (75 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)",,,FALSE,C5229041,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/T1019,"Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)",,,FALSE,C1145362,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20020701,0,Z2=Undefined codes,I=Not payable by Medicare,20020701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2384,"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each",,,FALSE,C1743162,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20070101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8416,Clinician documented that patient was not an eligible candidate for footwear evaluation measure,,,FALSE,C1971258,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20080101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4236,"Carepatch, per square centimeter",,,FALSE,C5439780,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230101,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/P9052,"Platelets, hla-matched leukocytes reduced, apheresis/pheresis, each unit",,,FALSE,C1314479,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20040101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,1833T,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/A4412,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each",,,FALSE,C1620968,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)","0124=PUBLICATION 100.2, CHAPTER 15, SS 120.",,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P9057,"Red blood cells, frozen/deglycerolized/washed, leukocytes reduced, irradiated, each unit",,,FALSE,C1145013,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20040101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,1833T,"0=Whole blood only eff 01/96, whole blood or packed red cells before 01/96",,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/E0694,"Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection",,,FALSE,C1145093,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0691-E0694,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9498,Antibiotic regimen prescribed,,,FALSE,C4067449,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4341,"Simplimax, per square centimeter",,,FALSE,C5974418,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20241001,0,O1E=Other drugs,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G4011,Internal medicine mips specialty set,,,FALSE,C5574514,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K0860,"Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds",,,FALSE,C1738028,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9604,Patient survey results not available,,,FALSE,C4067527,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3674,"Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment",,,FALSE,C2959288,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3650-L3678,N=No maintenance for this code,20110101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/B9006,"Parenteral nutrition infusion pump, stationary",,,FALSE,C0498008,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B9002-B9999,N=No maintenance for this code,20020101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19880101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5845,"Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable",,,FALSE,C0499964,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19960101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1402,Patients receiving an initial chemotherapy regimen with a defined duration with the eligible clinician or group,,,FALSE,C5974349,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S9503,"Home infusion therapy, antibiotic, antiviral, or antifungal; once every 6 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994260,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9490-S9810,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S2066,"Breast reconstruction with gluteal artery perforator (gap) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral",,,FALSE,C1971378,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20070701,0,Z2=Undefined codes,I=Not payable by Medicare,20070701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1015,"Shock absorber for manual wheelchair, each",,,FALSE,C1145100,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20030101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,60.9,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1411,Currently on first-line immune checkpoint inhibitors without chemotherapy,,,FALSE,C5974358,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E1089,"High strength lightweight wheelchair, fixed length arms, swing away detachable footrest",,,FALSE,C0498583,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1087-E1090,N=No maintenance for this code,20010401,0,D1D=Wheelchairs,I=Not payable by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,K0004,,http://purl.bioontology.org/ontology/HCPCS/K0004,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1905,"Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software",,,FALSE,C5883995,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1902-E2120,N=No maintenance for this code,20231001,0,D1E=Other DME,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1201,"Injection, cetirizine hydrochloride, 0.5 mg",,,FALSE,C5439738,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20200701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0640,"Patient lift, fixed system, includes all components/accessories",,,FALSE,C1508918,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0621-E0642,N=No maintenance for this code,20070101,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5640,"Addition to lower extremity, knee disarticulation, leather socket",,,FALSE,C0499885,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1700-E1702,Jaw Motion Rehabilitation System and Accessories,,,FALSE,C0812978,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9610,"Catheter, transluminal drug delivery with or without angioplasty, coronary, non-laser (insertable)",,,FALSE,C5974112,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9600-C9610,N=No maintenance for this code,20250101,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/STY/T058,Health Care Activity,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T057,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T053,Behavior,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T052,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T051,Event,,,FALSE,,,,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T052,Activity,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T051,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T054,Social Behavior,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T053,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T056,Daily or Recreational Activity,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T052,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T055,Individual Behavior,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T053,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T050,Experimental Model of Disease,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T046,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T059,Laboratory Procedure,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T058,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T057,Occupational Activity,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T052,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/HCPCS/K0609,"Replacement electrodes for use with automated external defibrillator, garment type only, each",,,FALSE,C1314442,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0606-K0609,N=No maintenance for this code,20030701,0,D1E=Other DME,C=Carrier judgment,20030701,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7513,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with transluminal balloon angioplasty of central dialysis segment, performed through dialysis circuit, including all required imaging, radiological supervision and interpretation, image documentation and report",,,FALSE,C5771527,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P6C=Minor procedures - other (Medicare fee schedule),C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2183,Documentation patient unable to communicate and informant not available,,,FALSE,C5439697,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J7312,"Injection, dexamethasone, intravitreal implant, 0.1 mg",,,FALSE,C2959265,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7311-J7316,N=No maintenance for this code,20110101,0,O1E=Other drugs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,20110101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4765,"Dialysate concentrate, powder, additive for peritoneal dialysis, per packet",,,FALSE,C0497912,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9898,Radiolabeled product provided during a hospital inpatient stay,,,FALSE,C2368666,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20080101,0,Z2=Undefined codes,D=Special coverage instructions apply,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,NA,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K0069,"Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each",,,FALSE,C0499228,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/C7502,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, all lesions unilateral or bilateral (for single lesion biopsy, use appropriate code)",,,FALSE,C5771517,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P1A=Major procedure - breast,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/C9355,"Collagen nerve cuff (neuromatrix), per 0.5 centimeter length",,,FALSE,C2368661,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20080101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,621MMA,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5336,Repair/modification of augmentative communicative system or device (excludes adaptive hearing aid),,,FALSE,C0500453,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5336-V5336,N=No maintenance for this code,19910101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19900101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",,,FALSE,C1314234,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0294,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress",,,FALSE,C0498429,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19910101,0,D1B=Hospital beds,D=Special coverage instructions apply,19910101,60-18,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4122,"Dermacell, dermacell awm or dermacell awm porous, per square centimeter",,,FALSE,C5229194,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0700-E0705,Safety Equipment,,,FALSE,C0033612,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/A6609,"Gradient compression bandaging supply, not otherwise specified",,,FALSE,C5883949,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6593-A6611,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2675,"Injection, progesterone, per 50 mg",,,FALSE,C0498970,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20020701,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/U0001,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel,,,FALSE,C5439805,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20U0000-U0002,N=No maintenance for this code,20200204,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,20200204,,,A=Not applicable as HCPCS priced under one methodology,,,,,"22=Price established by carriers (e.g., gap-fills, carrier established panels)",0221=THE SECRETARY HAS DETERMINED THERE IS A PUBLIC HEALTH EMERGENCY TO DEVELOP A CODE. THE SERVICE IS COVERED UNDER SECTION 564(B)(1)(C).,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/C9776,"Intraoperative near-infrared fluorescence imaging of major extra-hepatic bile duct(s) (e.g., cystic duct, common bile duct and common hepatic duct) with intravenous administration of indocyanine green (icg) (list separately in addition to code for primary procedure)",,,FALSE,C5574451,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20210401,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20210401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),4=Diagnostic radiology|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/L8610,Ocular implant,,,FALSE,C0500187,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8608-L8629,N=No maintenance for this code,19971001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19920101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S2053,Transplantation of small intestine and liver allografts,,,FALSE,C0812807,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,2=Surgery|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,Obstetric and Fertility Services,,,FALSE,C4542656,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20S0000-S9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G2078,Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure,,,FALSE,C5229069,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,M5D=Specialist - other,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L1681,"Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C5884112,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1600-L1690,N=No maintenance for this code,20231001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3649,"Orthopedic shoe, modification, addition or transfer, not otherwise specified",,,FALSE,C0499727,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3600-L3649,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8561,Patient is not eligible for the referral for otologic evaluation for patients with a history of active drainage measure,,,FALSE,C2729203,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20100101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V2214,"Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens",,,FALSE,C0500349,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/T2031,"Assisted living; waiver, per diem",,,FALSE,C1314631,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C9352,"Microporous collagen implantable tube (neuragen nerve guide), per centimeter length",,,FALSE,C1971566,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20080101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,621MMA,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6519,"Gradient compression garment, not otherwise specified, for nighttime use, each",,,FALSE,C5979703,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,A=Add procedure or modifier code,20250401,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20250401,,,,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9584,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries",,,FALSE,C3248385,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/L8618,"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement",,,FALSE,C1509072,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8608-L8629,N=No maintenance for this code,20180101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20050101,65-14,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0249,"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests",,,FALSE,C1145124,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20080319,0,Y1=Other - Medicare fee schedule,D=Special coverage instructions apply,20020701,50.55,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0736,Transcutaneous tibial nerve stimulator,,,FALSE,C5974128,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20241001,0,D1E=Other DME,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1372,Most recent glycemic status assessment (hba1c or gmi) level >= 7.0% and < 8.0%,,,FALSE,C5974320,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A6453,"Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard",,,FALSE,C1314255,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6413-A6461,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9806,"Rotary peristaltic infusion pump (e.g., ambit pump), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)",,,FALSE,C5974116,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20250101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,53=Statute,,1833(t),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2294,"Seat, contoured, for pediatric size wheelchair including fixed attaching hardware",,,FALSE,C1508921,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6595,"Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each",,,FALSE,C5883935,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6593-A6611,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5248,"Hearing aid, analog, binaural, cic",,,FALSE,C0994297,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6696,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695)",,,FALSE,C1509064,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5150,"Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot",,,FALSE,C0499830,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5150-L5160,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4437,"Irrigation supply; sleeve, disposable, per month",,,FALSE,C5574431,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20220101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20220101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0635,"Patient lift, electric with seat or sling",,,FALSE,C0498482,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0621-E0642,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1939,"Injection, bumetanide, 0.5 mg",,,FALSE,C5876974,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,D=Special coverage instructions apply,20240101,,,A=Not applicable as HCPCS priced under one methodology,2049,20250101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C2623,"Catheter, transluminal angioplasty, drug-coated, non-laser",,,FALSE,C4067400,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2617-C2631,N=No maintenance for this code,20180101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20150401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),F=Ambulatory surgical center (facility usage for surgical services)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8630,Metacarpophalangeal joint implant,,,FALSE,C0500205,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8630-L8659,N=No maintenance for this code,19971001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19920101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",,,FALSE,C1314223,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C8901,"Magnetic resonance angiography without contrast, abdomen",,,FALSE,C0993820,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8900-C8920,N=No maintenance for this code,20011001,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20011001,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/J7501,"Azathioprine, parenteral, 100 mg",,,FALSE,C0499068,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20000101,0,O1E=Other drugs,D=Special coverage instructions apply,19880101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,G=Immunosuppressive drugs|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S5160,Emergency response system; installation and testing,,,FALSE,C1314574,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S2260,"Induced abortion, 17 to 24 weeks",,,FALSE,C0994109,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20070101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9910,"Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period",,,FALSE,C5203686,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E2619,"Replacement cover for wheelchair seat cushion or back cushion, each",,,FALSE,C1508943,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2601-E2621,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4123,"Alloskin rt, per square centimeter",,,FALSE,C3248668,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20120101,0,O1E=Other drugs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J3300,"Injection, triamcinolone acetonide, preservative free, 1 mg",,,FALSE,C2368486,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,D=Special coverage instructions apply,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0127=PUBLICATION 100.2, CHAPTER 15, 50.1.",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9759,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when performed",,,FALSE,C5439646,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20200701,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0215,"Injection, alefacept, 0.5 mg",,,FALSE,C1314412,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,G=Immunosuppressive drugs|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1040,Patients with a diagnosis of lumbar idiopathic or congenital scoliosis,,,FALSE,C4746456,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/M0248,"Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency",,,FALSE,C5574597,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210526,0,O1G=Immunizations/Vaccinations,C=Carrier judgment,20210526,,,A=Not applicable as HCPCS priced under one methodology,,,,,54=Vaccinations,,,"V=Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4431,"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each",,,FALSE,C1314233,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1819,Surgical tissue localization and excision device (implantable),,,FALSE,C1508854,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,"0093=""C"" CODES ARE UNIQUE TEMPORARY PRICING CODES THAT WERE INITIALLY ESTABLISHED BY CMS FOR THE HOSPITAL OUTPATIENT PROSPECTIVE PAYMENT SYSTEM (OPPS). THE ""C"" CODES ARE USED ON MEDICARE OPPS CLAIMS BUT MAY ALSO BE RECOGNIZED ON CLAIMS FROM OTHER PROVIDERS OR BY OTHER PAYMENT SYSTEMS.",1833T,S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1575,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin",,,FALSE,C4067603,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0029,Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period,,,FALSE,C5574457,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G2090,Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period,,,FALSE,C5203684,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A6603,"Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each",,,FALSE,C5883943,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6593-A6611,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9246,"Injection, melphalan (evomela), 1 mg",,,FALSE,C5439756,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20200701,0,O1D=Chemotherapy,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20200701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L0450,"Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf",,,FALSE,C3710471,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1239,Patient did not respond to the question of patient felt heard and understood by this provider and team,,,FALSE,C5884144,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3212,"Benesch boot, pair, infant",,,FALSE,C0499664,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2079,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9792,Most recent tobacco status is not tobacco free,,,FALSE,C4316161,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A7506,"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each",,,FALSE,C0918331,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7501-A7527,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0900-K0900,Customized DME: Other than Wheelchair,,,FALSE,C4542618,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20K0000-K9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8540,"Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter",,,FALSE,C2368474,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20180101,0,M5D=Specialist - other,C=Carrier judgment,20090101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9097,"Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; extent of disease initially established as t4, any n, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1619388,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,Incontinence Appliances and Care Supplies,,,FALSE,C0812879,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9381,"Delivery or service to high risk areas requiring escort or extra protection, per visit",,,FALSE,C0994249,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S3900-S3904,Temporary National Codes Established by Private Payers - Other Tests,,,FALSE,C4542655,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20S0000-S9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J9028,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram",,,FALSE,C5974109,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20250101,0,O1D=Chemotherapy,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7169,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",,,FALSE,C5439745,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20200701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0035-Q0035,Cardiokymography (CMS Temporary Codes),,,FALSE,C2729400,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/S5105,"Day care services, center-based; services not included in program fee, per diem",,,FALSE,C1314553,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0516,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)",,,FALSE,C4542708,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0516-G0518,N=No maintenance for this code,20180401,0,P6C=Minor procedures - other (Medicare fee schedule),C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8876,"Documentation of reason(s) for not performing minimally invasive biopsy to diagnose breast cancer preoperatively (e.g., lesion too close to skin, implant, chest wall, etc., lesion could not be adequately visualized for needle biopsy, patient condition prevents needle biopsy [weight, breast thickness, etc.], duct excision without imaging abnormality, prophylactic mastectomy, reduction mammoplasty, excisional biopsy performed by another physician)",,,FALSE,C3248610,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20150101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2392,"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each",,,FALSE,C1743163,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20070101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0482,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed",,,FALSE,C4067430,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0480-G0483,N=No maintenance for this code,20170101,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,20160101,,340=Toxicology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/Q4367,"Amniocore sl, per square centimeter",,,FALSE,C5979770,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A6518,"Gradient compression wrap with adjustable straps, arm, each, custom",,,FALSE,C5979702,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,A=Add procedure or modifier code,20250401,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20250401,,,,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4520,"Incontinence garment, any type, (e.g., brief, diaper), each",,,FALSE,C1508834,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20050101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1830,"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",,,FALSE,C0498907,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0810-L0861,Halo Procedure,,,FALSE,C0813013,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L0100-L4999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9540,Patient alive 3 months post procedure,,,FALSE,C4067489,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E2330,"Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array, and fixed mounting hardware",,,FALSE,C1314351,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0470,"Injection, dimercaprol, per 100 mg",,,FALSE,C0498770,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,20230101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E2322,"Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware",,,FALSE,C1314343,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0154,"Platform attachment, walker, each",,,FALSE,C0498366,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0130-E0155,N=No maintenance for this code,19960101,0,D1E=Other DME,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0156,"Seat attachment, walker",,,FALSE,C0498368,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0156-E0159,N=No maintenance for this code,19960101,0,D1E=Other DME,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S8035,Magnetic source imaging,,,FALSE,C0812825,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8030-S8092,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G0008,Administration of influenza virus vaccine,,,FALSE,C0498686,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0008-G0013,N=No maintenance for this code,19960101,0,O1G=Immunizations/Vaccinations,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,54=Vaccinations,,,"V=Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1181,Grade 2 or above diarrhea and/or grade 2 or above colitis,,,FALSE,C5771687,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J3241,"Injection, teprotumumab-trbw, 10 mg",,,FALSE,C5434302,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20201001,0,O1E=Other drugs,C=Carrier judgment,20201001,,,A=Not applicable as HCPCS priced under one methodology,,20201001,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0427,"Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth",,,FALSE,C2729185,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0425-G0427,N=No maintenance for this code,20120101,0,M6=Consultations,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,3=Consultation,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,Medical and Surgical Supplies,,,FALSE,C0812877,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20A0000-A9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",,,FALSE,C0499582,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C8910,"Magnetic resonance angiography without contrast, chest (excluding myocardium)",,,FALSE,C0993829,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8900-C8920,N=No maintenance for this code,20011001,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20011001,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L1932,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C1509055,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1900-L1990,C=Change in long description of procedure or modifier code,20250401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q2028,"Injection, sculptra, 0.5 mg",,,FALSE,C3710552,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,N=No maintenance for this code,20190101,0,O1E=Other drugs,D=Special coverage instructions apply,20140101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,"0166=CR6953 RELEASED 6/4/2010, NCD 250.5 (PUB 100-03) AND CPM 32.260 PUB (100-04).",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20P0000-P9999,Pathology and Laboratory Services,,,FALSE,C0813123,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000323,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9543,Documentation of at least two attempts to reach the patient to arrange a clinical re-assessment for the appropriateness of filter removal within 3 months of placement,,,FALSE,C4067492,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L7045,"Electric hook, switch or myoelectric controlled, pediatric",,,FALSE,C0500127,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7007-L7045,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1830,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf",,,FALSE,C3710503,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S3000,"Diabetic indicator; retinal eye exam, dilated, bilateral",,,FALSE,C1314526,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/L5600,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model",,,FALSE,C0499863,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5510-L5600,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L8465,"Prosthetic shrinker, upper limb, each",,,FALSE,C0500178,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8400-L8485,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19880101,,,A=Not applicable as HCPCS priced under one methodology,2133,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3300,"Lift, elevation, heel, tapered to metatarsals, per inch",,,FALSE,C0499687,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3300-L3334,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3300-L3334,Shoe Lifts,,,FALSE,C5228968,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3000-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing",,,FALSE,C0520184,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1786,"Pacemaker, single chamber, rate-responsive (implantable)",,,FALSE,C0993771,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4393,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each",,,FALSE,C0812620,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",,,FALSE,C0499309,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20110101,0,D1E=Other DME,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9085,"Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t4, n0, m0 with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1617852,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0100,"Cane, includes canes of all materials, adjustable or fixed, with tip",,,FALSE,C0006856,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0100-E0105,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9|60-3,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6530,"Gradient compression stocking, below knee, 18-30 mmhg, each",,,FALSE,C0500151,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9009,"Coordinated care fee, risk adjusted maintenance, level 3",,,FALSE,C0993926,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9001-G9012,N=No maintenance for this code,20011001,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20011001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0096=SERVICE REPRESENTED BY G9106 IS REPORTABLE ONLY BY PARTICIPANTS IN THE SMOKING CESSATION COUNSELING DEMONSTRATION PROJECT.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M0075,Cellular therapy,,,FALSE,C0302189,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,19960101,0,Y2=Other - Non-Medicare fee schedule,M=Non-covered by Medicare,19860101,35-5,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each",,,FALSE,C1509032,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5500-A5514,N=No maintenance for this code,20190101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2134,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,J=Diabetic shoes (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5643,"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame",,,FALSE,C0499887,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/H2040,"Coordinated specialty care, team-based, for first episode psychosis, per month",,,FALSE,C5884017,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20231001,0,Z2=Undefined codes,I=Not payable by Medicare,20231001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A2004,"Xcellistem, 1 mg",,,FALSE,C5771731,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20220101,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20220101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1888,"Catheter, ablation, non-cardiac, endovascular (implantable)",,,FALSE,C1145019,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20020701,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20020701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0156,"Exemestane, 25 mg",,,FALSE,C0919162,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3500,"Orthopedic shoe addition, insole, leather",,,FALSE,C0499711,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3500-L3595,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P2031,Hair analysis (excluding arsenic),,,FALSE,C0500232,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P2028-P2038,N=No maintenance for this code,19890101,0,T1H=Lab test - other (Non-Medicare fee schedule),M=Non-covered by Medicare,19860101,50-24,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/G9981,"Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a comprehensive history; a comprehensive examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 45 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology",,,FALSE,C4722448,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20181001,0,M1A=Office visits - new,C=Carrier judgment,20181001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J1644,"Injection, heparin sodium, per 1000 units",,,FALSE,C0498887,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20030101,0,O1E=Other drugs,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6026,"Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s)",,,FALSE,C3871384,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6000-L6037,N=No maintenance for this code,20150101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1815,"Dynamic adjustable ankle extension and flexion device, includes soft interface material",,,FALSE,C0498675,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20250101,0,D1E=Other DME,C=Carrier judgment,19960101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1121,The start of an episode of care documented in the medical record,,,FALSE,C5203736,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0282,"Injection, amiodarone hydrochloride, 30 mg",,,FALSE,C0919067,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20010101,0,O1E=Other drugs,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0458,"Low dose rate (ldr) prostate brachytherapy services, composite rate",,,FALSE,C3534795,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0452-G0465,N=No maintenance for this code,20180101,0,P7A=Oncology - radiation therapy,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0185=THIS SERVICE IS LIMITED TO PAYMENT IN AN ASC.,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0250,"Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests",,,FALSE,C1145125,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20080319,0,M1B=Office visits - established,D=Special coverage instructions apply,20020701,50.55,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9286,"Injection, glofitamab-gxbm, 2.5 mg",,,FALSE,C5884099,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240101,0,O1D=Chemotherapy,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5982,"All exoskeletal lower extremity prostheses, axial rotation unit",,,FALSE,C0499986,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V5100,"Hearing aid, bilateral, body worn",,,FALSE,C0500437,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5070-V5110,N=No maintenance for this code,19950101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0200,"Injection, alatrofloxacin mesylate, 100 mg",,,FALSE,C0812731,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L1686,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment",,,FALSE,C0499493,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1600-L1690,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T1024,"Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter",,,FALSE,C1145366,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A9268,"Programmer for transient, orally ingested capsule",,,FALSE,C5883953,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20231001,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20231001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9380,Patient offered assistance with end of life issues or existing end of life plan was reviewed or updated during the measurement period,,,FALSE,C3871294,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9931,"Documentation of cha2ds2-vasc risk score of 0 or 1 for men; or 0, 1, or 2 for women",,,FALSE,C4542761,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S2341,Chemodenervation of adductor muscle(s) of vocal cord,,,FALSE,C0994110,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9114,"Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic stage ia-b (grade 2-3); or stage ic (all grades); or stage ii; without evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1621004,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0693,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel",,,FALSE,C1145092,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0691-E0694,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9143,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s)",,,FALSE,C2729271,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9143-G9143,N=No maintenance for this code,20140101,0,M5D=Specialist - other,C=Carrier judgment,20090803,,400=Hematology|220=General immunology,A=Not applicable as HCPCS priced under one methodology,,,,,"21=Price subject to national limitation amount|13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,Specialty Set,,,FALSE,C5574414,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4326,"Woundplus, per square centimeter",,,FALSE,C5974403,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J0290,"Injection, ampicillin sodium, 500 mg",,,FALSE,C0498759,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20000101,0,O1E=Other drugs,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf",,,FALSE,C3710538,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4350-L4631,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2010,"Injection, lincomycin hcl, up to 300 mg",,,FALSE,C0498922,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7658,"Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram",,,FALSE,C0520209,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8417,Bmi is documented above normal parameters and a follow-up plan is documented,,,FALSE,C1971259,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20140101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3540,"Orthopedic shoe addition, sole, full",,,FALSE,C0499715,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3500-L3595,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9152,"Speech therapy, re-evaluation",,,FALSE,C1971383,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20070701,0,Z2=Undefined codes,I=Not payable by Medicare,20070701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L0621,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf",,,FALSE,C3710481,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0621-L0624,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9880,The mdpp beneficiary achieved at least 5% weight loss (wl) from his/her baseline weight in months 1-12 of the mdpp services period under the mdpp expanded model (em). this is a one-time payment available when a beneficiary first achieves at least 5% weight loss from baseline as measured by an in-person weight measurement at a core session or core maintenance session,,,FALSE,C4746393,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180401,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20180401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3650-L3678,Shoulder Orthotics,,,FALSE,C2368641,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L3650-L3999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H9,Court-ordered,,,FALSE,C1144849,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/HS,Family/couple without client present,,,FALSE,C1144865,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/HO,Masters degree level,,,FALSE,C1144862,http://purl.bioontology.org/ontology/STY/T185,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T185
http://purl.bioontology.org/ontology/HCPCS/HT,Multi-disciplinary team,,,FALSE,C1144866,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/HP,Doctoral level,,,FALSE,C0681417,http://purl.bioontology.org/ontology/STY/T185,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T185
http://purl.bioontology.org/ontology/HCPCS/HI,Integrated mental health and intellectual disability/developmental disabilities program,,,FALSE,C1144857,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20140101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/HM,Less than bachelor degree level,,,FALSE,C1144860,http://purl.bioontology.org/ontology/STY/T185,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T185
http://purl.bioontology.org/ontology/HCPCS/HR,Family/couple with client present,,,FALSE,C1144864,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/HU,Funded by child welfare agency,,,FALSE,C1144867,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/HL,Intern,,,FALSE,C1144859,http://purl.bioontology.org/ontology/STY/T097,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T097
http://purl.bioontology.org/ontology/HCPCS/HX,Funded by county/local agency,,,FALSE,C1144870,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/HD,Pregnant/parenting women's program,,,FALSE,C1144853,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/HV,Funded state addictions agency,,,FALSE,C1144868,http://purl.bioontology.org/ontology/STY/T093,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T093
http://purl.bioontology.org/ontology/HCPCS/HG,Opioid addiction treatment program,,,FALSE,C1144855,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/HB,"Adult program, non geriatric",,,FALSE,C1144851,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/HF,Substance abuse program,,,FALSE,C1144854,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/HJ,Employee assistance program,,,FALSE,C0013995,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/HA,Child/adolescent program,,,FALSE,C1144850,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/HH,Integrated mental health/substance abuse program,,,FALSE,C1144856,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/HE,Mental health program,,,FALSE,C0237807,http://purl.bioontology.org/ontology/STY/T093,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T093
http://purl.bioontology.org/ontology/HCPCS/HW,Funded by state mental health agency,,,FALSE,C1144869,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/HY,Funded by juvenile justice agency,,,FALSE,C1144871,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/HZ,Funded by criminal justice agency,,,FALSE,C1144872,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/HC,"Adult program, geriatric",,,FALSE,C1144852,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/HQ,Group setting,,,FALSE,C1144863,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/HK,Specialized mental health programs for high-risk populations,,,FALSE,C1144858,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/HN,Bachelors degree level,,,FALSE,C1144861,http://purl.bioontology.org/ontology/STY/T185,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T185
http://purl.bioontology.org/ontology/HCPCS/J7208,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u.",,,FALSE,C5229018,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20190701,0,O1E=Other drugs,D=Special coverage instructions apply,20190701,,,A=Not applicable as HCPCS priced under one methodology,,20190701,,YY,51=Drugs,"0127=PUBLICATION 100.2, CHAPTER 15, 50.1.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1630,Reciprocating peritoneal dialysis system,,,FALSE,C0498663,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),C=Carrier judgment,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9129,"Oncology; disease status; limited to multiple myeloma, systemic disease; stage ii or higher (for use in a medicare-approved demonstration project)",,,FALSE,C1619392,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q5142,"Injection, adalimumab-ryvk biosimilar, 1 mg",,,FALSE,C5974440,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4356,"External urethral clamp or compression device (not to be used for catheter clamp), each",,,FALSE,C0497838,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4356-A4360,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9354,One ct scan or no ct scan of the paranasal sinuses ordered within 90 days after the date of diagnosis,,,FALSE,C4067438,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A6520,"Gradient compression garment, glove, padded, for nighttime use, each",,,FALSE,C5883883,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S1036,"Transmitter; external, for use with artificial pancreas device system",,,FALSE,C3871403,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20140701,0,Z2=Undefined codes,I=Not payable by Medicare,20140701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1817,"Septal defect implant system, intracardiac",,,FALSE,C0993777,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3060,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each",,,FALSE,C0499646,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3040-L3060,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A7001,"Canister, non-disposable, used with suction pump, each",,,FALSE,C0812622,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20000101,0,D1E=Other DME,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9497,"Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 3 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994256,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9490-S9810,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0406,"Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth",,,FALSE,C2368406,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0406-G0408,N=No maintenance for this code,20120101,0,M6=Consultations,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,3=Consultation,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9412,"Patient admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision",,,FALSE,C3871318,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1288,Documented reason for not screening or recommending a follow-up for high blood pressure,,,FALSE,C5849234,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J1943,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg",,,FALSE,C4746287,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,20191001,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E2324,"Power wheelchair accessory, chin cup for chin control interface",,,FALSE,C1314345,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S2267,"Induced abortion, 32 weeks or greater",,,FALSE,C1314523,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20070101,0,Z2=Undefined codes,I=Not payable by Medicare,20021001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L1933,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf",,,FALSE,C5979743,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1900-L1990,A=Add procedure or modifier code,20250401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9674,Patients with clinical ascvd diagnosis,,,FALSE,C4067589,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C9756,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primary procedure),,,FALSE,C5229019,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20190701,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20190701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/J1444,"Injection, ferric pyrophosphate citrate powder, 0.1 mg of iron",,,FALSE,C5229158,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190701,0,O1E=Other drugs,C=Carrier judgment,20190701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4259,"Celera dual layer or celera dual membrane, per square centimeter",,,FALSE,C5771717,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20220701,0,O1E=Other drugs,C=Carrier judgment,20220701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/V2210,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens",,,FALSE,C0500345,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,N=No maintenance for this code,19850101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9646,Patients with 90 day mrs score of 0 to 2,,,FALSE,C4067564,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/K0010,Standard - weight frame motorized/power wheelchair,,,FALSE,C0499171,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,19970505,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9330,"Home infusion therapy, continuous (twenty-four hours or more) chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994215,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C2615,"Sealant, pulmonary, liquid",,,FALSE,C0993804,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2040,"Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated",,,FALSE,C0499541,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2040-L2090,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4222,"Progenamatrix, per square centimeter",,,FALSE,C5229213,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A4384,"Ostomy faceplate equivalent, silicone ring, each",,,FALSE,C0499364,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2590,"Injection, oxytocin, up to 10 units",,,FALSE,C0498962,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5250,"Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot",,,FALSE,C0499836,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5250-L5270,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4377,"Ostomy pouch, drainable, for use on faceplate, plastic, each",,,FALSE,C0812605,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2277,"Injection, motixafortide, 0.25 mg",,,FALSE,C5974257,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,20240401,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0307,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)",,,FALSE,C1314381,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20090101,0,T1D=Lab tests - blood counts,C=Carrier judgment,20040101,,400=Hematology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1878,"Material for vocal cord medialization, synthetic (implantable)",,,FALSE,C0993783,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5629,"Addition to lower extremity, below knee, acrylic socket",,,FALSE,C0499876,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9612-P9615,Catheterization for Specimen Collection,,,FALSE,C4542648,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20P0000-P9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V2770,"Occluder lens, per lens",,,FALSE,C0500421,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/H0018,"Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem",,,FALSE,C0919054,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9514,Patient required a return to the operating room within 90 days of surgery,,,FALSE,C4067465,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0424,"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing",,,FALSE,C0498440,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20010101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19930101,60-4,,A=Not applicable as HCPCS priced under one methodology,4107.9,,,,33=Oxygen and oxygen equipment (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7196,"Injection, antithrombin recombinant, 50 i.u.",,,FALSE,C2959263,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1228,"Patient, who has a reactive hcv antibody test, and has a follow up hcv viral test that detected hcv viremia, has hcv treatment initiated within 3 months of the reactive hcv antibody test",,,FALSE,C5884133,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A7006,"Administration set, with small volume filtered pneumatic nebulizer",,,FALSE,C0499302,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20000101,0,D1E=Other DME,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1825,"Dynamic adjustable finger extension and flexion device, includes soft interface material",,,FALSE,C0498677,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20250101,0,D1E=Other DME,C=Carrier judgment,19960101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A8004,"Soft interface for helmet, replacement only",,,FALSE,C1742741,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A8000-A8004,N=No maintenance for this code,20070101,0,D1E=Other DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4191,"Restorigin, per square centimeter",,,FALSE,C4746487,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G8735,"Elder maltreatment screen documented as positive, follow-up plan not documented, reason not given",,,FALSE,C3248477,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E1826,"Dynamic adjustable finger extension only device, includes soft interface material",,,FALSE,C5974142,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20250101,0,D1E=Other DME,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,Prosthetic Procedures - Lower Limb - Additions to Socket Variations,,,FALSE,C0813079,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1124,"Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery",,,FALSE,C5203747,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J2788,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)",,,FALSE,C1145202,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20140101,0,O1E=Other drugs,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0152,"Walker, battery powered, wheeled, folding, adjustable or fixed height",,,FALSE,C5974121,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0130-E0155,N=No maintenance for this code,20240401,0,Z2=Undefined codes,I=Not payable by Medicare,20240401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8682,Implantable neurostimulator radiofrequency receiver,,,FALSE,C0918994,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8678-L8689,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20060101,65-8,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1247,"Patient responded ""completely true"" for the question of patient felt this provider and team put my best interests first when making recommendations about my care",,,FALSE,C5884152,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G8536,"No documentation of an elder maltreatment screen, reason not given",,,FALSE,C2368470,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5D=Specialist - other,C=Carrier judgment,20090101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1243,"Patient provided a response other than ""completely true"" for the question of patient felt heard and understood by this provider and team",,,FALSE,C5884148,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J2993,"Injection, reteplase, 18.1 mg",,,FALSE,C0993947,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20010101,0,O1E=Other drugs,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9046,"Cocaine hydrochloride nasal solution (goprelto), 1 mg",,,FALSE,C5229009,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20230101,0,O1E=Other drugs,D=Special coverage instructions apply,20190401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),9=Other medical items or services|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5290,"Assistive listening device, transmitter microphone, any type",,,FALSE,C3534644,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5268-V5290,N=No maintenance for this code,20130101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862a7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5420,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation",,,FALSE,C0499846,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5400-L5460,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4265,"Neostim tl, per square centimeter",,,FALSE,C5884234,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230401,0,O1E=Other drugs,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A4928,"Surgical mask, per 20",,,FALSE,C0993706,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9013,Esrd demo basic bundle level i,,,FALSE,C1509002,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20040701,0,Y2=Other - Non-Medicare fee schedule,M=Non-covered by Medicare,20040701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0096=SERVICE REPRESENTED BY G9106 IS REPORTABLE ONLY BY PARTICIPANTS IN THE SMOKING CESSATION COUNSELING DEMONSTRATION PROJECT.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6032,"Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal)",,,FALSE,C5979750,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6000-L6037,A=Add procedure or modifier code,20250401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0047,"Elevating legrest, upper hanger bracket, replacement only, each",,,FALSE,C0499206,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/G2067,"Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program)",,,FALSE,C5229058,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,M5D=Specialist - other,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0791,"Injection, crizanlizumab-tmca, 5 mg",,,FALSE,C5439736,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20200701,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K0806,"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds",,,FALSE,C1741408,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2205,"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each",,,FALSE,C1508810,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20080101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0649,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf",,,FALSE,C3710493,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0643-L0651,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5040,"Hearing aid, monaural, body worn, bone conduction",,,FALSE,C0500431,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5030-V5060,N=No maintenance for this code,19950101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9710,Patient was provided hospice services any time during the measurement period,,,FALSE,C4316222,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G2098,Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period,,,FALSE,C5203680,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9318,Imaging study named according to standardized nomenclature,,,FALSE,C3710418,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,Miscellaneous Pathology and Laboratory Services,,,FALSE,C0813126,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20P0000-P9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C1753,"Catheter, intravascular ultrasound",,,FALSE,C0878980,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",,,FALSE,C0498557,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q9951,"Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml",,,FALSE,C1619409,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9950-Q9969,N=No maintenance for this code,20050401,0,I1E=Standard imaging - nuclear medicine,D=Special coverage instructions apply,20050401,,,A=Not applicable as HCPCS priced under one methodology,15022,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/G2082,"Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of up to 56 mg of esketamine nasal self-administration, includes 2 hours post-administration observation",,,FALSE,C5229073,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,M1B=Office visits - established,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5150-L5160,Prosthetic Procedures - Knee Disarticulation,,,FALSE,C0813065,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8864,Pneumococcal vaccine administered or previously received,,,FALSE,C3248598,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S9090,"Vertebral axial decompression, per session",,,FALSE,C0812845,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4221,"Amniowrap2, per square centimeter",,,FALSE,C5229212,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Q4007,"Cast supplies, long arm cast, pediatric (0-10 years), plaster",,,FALSE,C0994002,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0539,"Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes",,,FALSE,C5974172,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A9586,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries",,,FALSE,C3531458,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,D=Special coverage instructions apply,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,20250101,,YY,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0189=IOM 100-3, CH 4, NCD 220.6.20.",,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G2004,"Comprehensive (60 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)",,,FALSE,C5229040,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9128,"Speech therapy, in the home, per diem",,,FALSE,C0812852,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1590,Hemodialysis machine,,,FALSE,C0019005,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0632,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, custom fabricated",,,FALSE,C1509044,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0628-L0640,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0182,"Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more",,,FALSE,C0919009,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20010101,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4316,"Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation",,,FALSE,C0497817,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,19900101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J3230,"Injection, chlorpromazine hcl, up to 50 mg",,,FALSE,C0499007,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8968,"Documentation of medical reason(s) for not prescribing an fda-approved anticoagulant (e.g., present or planned atrial appendage occlusion or ligation or patient being currently enrolled in a clinical trial related to af/atrial flutter treatment)",,,FALSE,C4542713,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20240101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E2230,"Manual wheelchair accessory, manual standing system",,,FALSE,C2368400,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20150101,0,D1D=Wheelchairs,C=Carrier judgment,20090101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1370,Rehabilitative support for musculoskeletal care mips value pathway,,,FALSE,C5884229,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9095,"Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)",,,FALSE,C1616834,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0270,"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",,,FALSE,C0498757,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20000101,0,O1E=Other drugs,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4074-Q4082,Additional Drug Codes (CMS Temporary Codes),,,FALSE,C2729413,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/G0469,"Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit",,,FALSE,C3871271,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0466-G0470,N=No maintenance for this code,20141001,0,M1A=Office visits - new,C=Carrier judgment,20141001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2099,Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period,,,FALSE,C5203723,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J7204,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu",,,FALSE,C5439746,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20200701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4594,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each",,,FALSE,C5974086,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20250101,0,D1E=Other DME,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9420,Specimen site other than anatomic location of lung or is not classified as primary non-small cell lung cancer,,,FALSE,C3871326,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0180-L0200,Multiple Post Collar: Cervical,,,FALSE,C4542620,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L0100-L4999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0131,"Injection, acetaminophen, not otherwise specified,10 mg",,,FALSE,C3248393,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230101,0,O1E=Other drugs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0201,"Partial hospitalization services, less than 24 hours, per diem",,,FALSE,C1314502,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20021001,0,Z2=Undefined codes,I=Not payable by Medicare,20021001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1310,"Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user",,,FALSE,C5849236,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1233,"Patient does not receive hcv antibody test or patient does receive hcv antibody test but results not documented, reason not given",,,FALSE,C5884138,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1393,Patients who were not diagnosed with recurrent melanoma during the current performance period,,,FALSE,C5974340,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9368,At least two orders for high-risk medications from the same drug class not ordered,,,FALSE,C4542718,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S8930,Electrical stimulation of auricular acupuncture points; each 15 minutes of personal one-on-one contact with the patient,,,FALSE,C3534655,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20120401,0,Z2=Undefined codes,I=Not payable by Medicare,20120401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S0516,Safety eyeglass frames,,,FALSE,C0994091,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0500-S0596,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1214,Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewed,,,FALSE,C5884121,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L5642,"Addition to lower extremity, above knee, leather socket",,,FALSE,C0499886,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L9900,"Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs ""l"" code",,,FALSE,C0812760,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8690-L9900,N=No maintenance for this code,20000101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/H2018,"Psychosocial rehabilitation services, per diem",,,FALSE,C1314391,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L6703,"Terminal device, passive hand/mitt, any material, any size",,,FALSE,C1741956,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6700-L6882,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q9960,"High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml",,,FALSE,C1621024,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9950-Q9969,N=No maintenance for this code,20050701,0,I1E=Standard imaging - nuclear medicine,D=Special coverage instructions apply,20050701,,,A=Not applicable as HCPCS priced under one methodology,15022,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/C8930,"Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision",,,FALSE,C2368653,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8921-C8930,N=No maintenance for this code,20090101,0,I3C=Echography/ultrasonography - heart,D=Special coverage instructions apply,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/L6711,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric",,,FALSE,C1971364,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6700-L6882,N=No maintenance for this code,20090101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/P9100,Pathogen(s) test for platelets,,,FALSE,C4521663,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20180101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20180101,50-34,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/G9480,Admission to medicare care choice model program (mccm),,,FALSE,C4067446,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,M5D=Specialist - other,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L2106,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated",,,FALSE,C0499549,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2106-L2136,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S4022,"Assisted oocyte fertilization, case rate",,,FALSE,C0994138,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q5138,"Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg",,,FALSE,C5974436,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9519,Patient achieves final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery,,,FALSE,C5229139,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J7628,"Bitolterol mesylate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram",,,FALSE,C0520198,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2790,"Amniotic membrane for surgical reconstruction, per procedure",,,FALSE,C0919240,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20031001,0,Z2=Undefined codes,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1265,Cms medical evidence form 2728 for dialysis patients: initial form completed,,,FALSE,C5884170,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q5005,Hospice care provided in inpatient hospital,,,FALSE,C1741419,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5001-Q5010,N=No maintenance for this code,20070101,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0133=SEE ONLINE MANUAL 100-02.9.,,1=Medical care|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/T4540,"Incontinence product, protective underpad, reusable, chair size, each",,,FALSE,C1509122,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20050101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",,,FALSE,C0498450,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20100101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19930101,60-4,,A=Not applicable as HCPCS priced under one methodology,4107.9,,,,33=Oxygen and oxygen equipment (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4427,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each",,,FALSE,C1314229,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1269,Receiving esrd mcp dialysis services by the provider on the last day of the reporting month,,,FALSE,C5884174,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6637,"Upper extremity addition, nudge control elbow lock",,,FALSE,C0500038,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A0390,Als mileage (per mile),,,FALSE,C0497760,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20030101,0,O1A=Ambulance,I=Not payable by Medicare,19950101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),A0425,,http://purl.bioontology.org/ontology/HCPCS/A0425,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/E0235,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin)",,,FALSE,C0498400,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0200-E0239,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,2210.3,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8433,"Screening for depression not completed, documented patient or medical reason",,,FALSE,C1971275,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20220101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4730,"Fistula cannulation set for hemodialysis, each",,,FALSE,C0497906,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A0398,Als routine disposable supplies,,,FALSE,C0497764,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20140101,0,O1A=Ambulance,I=Not payable by Medicare,19950101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q5147,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg",,,FALSE,C5979771,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6022,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each",,,FALSE,C0918317,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20130101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8917,"Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic not initiated on time",,,FALSE,C3534784,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120401,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V5282,"Assistive listening device, personal fm/dm system, binaural, (2 receivers, transmitter, microphone), any type",,,FALSE,C3534652,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5268-V5290,N=No maintenance for this code,20130101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862a7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J7627,"Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg",,,FALSE,C1617861,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7311-J7316,Ophthalmic Drugs,,,FALSE,C0304650,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J0100-J8999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/J3475,"Injection, magnesium sulfate, per 500 mg",,,FALSE,C0499034,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19960101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2785,"Injection, regadenoson, 0.1 mg",,,FALSE,C2368484,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S9472,"Cardiac rehabilitation program, non-physician provider, per diem",,,FALSE,C0812860,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4270,"Disposable endoscope sheath, each",,,FALSE,C0490966,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,19960101,0,P8D=Endoscopy - colonoscopy,C=Carrier judgment,19940101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4280,"Xcell amnio matrix, per square centimeter",,,FALSE,C5884248,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G0476,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test",,,FALSE,C4067424,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0471-G0476,N=No maintenance for this code,20150709,0,T2D=Other tests - other,C=Carrier judgment,20150709,,140=Virology,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4297,"Emerge matrix, per square centimeter",,,FALSE,C5884265,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/C2629,"Introducer/sheath, other than guiding, other than intracardiac electrophysiological, laser",,,FALSE,C0993815,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2617-C2631,N=No maintenance for this code,20130101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1600-L3649,Orthotic Devices: Lower Limb,,,FALSE,C0813022,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L0100-L4999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1250,"Addition to tlso, (low profile), anterior asis pad",,,FALSE,C0499474,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1200-L1290,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/P9019,"Platelets, each unit",,,FALSE,C0500247,http://purl.bioontology.org/ontology/STY/T031,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20010101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,19870101,,,A=Not applicable as HCPCS priced under one methodology,2455 B,,,,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T031
http://purl.bioontology.org/ontology/HCPCS/J0717,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",,,FALSE,C3710453,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,20140101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",,,FALSE,C1971338,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20130101,0,O1E=Other drugs,D=Special coverage instructions apply,20080101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1331,Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 8 weeks from initial exam,,,FALSE,C5884195,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S3722,"Dose optimization by area under the curve (auc) analysis, for infusional 5-fluorouracil",,,FALSE,C3248677,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20120101,0,Z2=Undefined codes,I=Not payable by Medicare,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J2503,"Injection, pegaptanib sodium, 0.3 mg",,,FALSE,C1621008,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,0095=AS REQUIRED BY BBRA SECTION 201.,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K0745,"Absorptive wound dressing for use with suction pump, home model, portable, pad size more than 16 square inches but less than or equal to 48 square inches",,,FALSE,C3248660,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0669-K0746,N=No maintenance for this code,20110701,0,D1E=Other DME,C=Carrier judgment,20110701,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8783,"Normal blood pressure reading documented, follow-up not required",,,FALSE,C3248521,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1392,"Documentation of patient reasons for no examination, i.e., refusal of examination or lost to follow-up (documentation must include information that the clinician was unable to reach the patient by phone, mail or secure electronic mail - at least one method must be documented)",,,FALSE,C5974339,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L2030,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated",,,FALSE,C0499536,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2000-L2038,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9010,"Coordinated care fee, risk adjusted maintenance, level 4",,,FALSE,C0993927,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9001-G9012,N=No maintenance for this code,20011001,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20011001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0096=SERVICE REPRESENTED BY G9106 IS REPORTABLE ONLY BY PARTICIPANTS IN THE SMOKING CESSATION COUNSELING DEMONSTRATION PROJECT.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0089,"Professional services, initial visit, for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes",,,FALSE,C5439666,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0068-G0090,N=No maintenance for this code,20210101,0,M4A=Home visit,D=Special coverage instructions apply,20210101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,"0223=THESE G CODES ARE ASSOCIATED WITH A NEW PART B BENEFIT CATEGORY ESTABLISHED BY THE FOLLOWING SECTIONS IN THE SOCIAL SECURITY ACT: 1861(s)(2)(GG), 1861(iii), 1834(u).",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4596,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month",,,FALSE,C5771505,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20221001,0,D1E=Other DME,C=Carrier judgment,20221001,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3929,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710536,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3334,"Lift, elevation, heel, per inch",,,FALSE,C0499692,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3300-L3334,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4399,"Ostomy irrigation supply; cone/catheter, with or without brush",,,FALSE,C0497850,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20110101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19890101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9600,"Injection, porfimer sodium, 75 mg",,,FALSE,C0520161,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19980101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,Drugs and Biologicals,,,FALSE,C0541491,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20C1000-C9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6031,"Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power",,,FALSE,C5979749,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6000-L6037,A=Add procedure or modifier code,20250401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J3105,"Injection, terbutaline sulfate, up to 1 mg",,,FALSE,C0499001,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19870101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q2036,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)",,,FALSE,C2959299,http://purl.bioontology.org/ontology/STY/T129|http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,N=No maintenance for this code,20140101,0,O1G=Immunizations/Vaccinations,D=Special coverage instructions apply,20110101,,,A=Not applicable as HCPCS priced under one methodology,2049.4,,,,54=Vaccinations,,,"V=Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95",,,,http://purl.bioontology.org/ontology/STY/T129|http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/T1021,"Home health aide or certified nurse assistant, per visit",,,FALSE,C1145424,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20020701,0,Z2=Undefined codes,I=Not payable by Medicare,20020701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A6441,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard",,,FALSE,C1314243,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6413-A6461,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P3001,"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician",,,FALSE,C0500236,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P3000-P3001,N=No maintenance for this code,20020101,0,T1G=Lab test - other (Medicare fee schedule),D=Special coverage instructions apply,19920101,50-20,630=Cytology,"C=Physician interpretation of clinical lab service is priced under physician fee schedule using RVU's, while pricing of lab service is paid under clinical lab fee schedule",,,,,21=Price subject to national limitation amount|11=Price established using national RVU's,"0045=SEE INTERMEDIARY MANUAL 3628.1A FOR PAYMENT INSTRUCTIONS. (P3000,P3001 G0123, G0124, G0141, G0143, G0144, G0145, G0147, G0148). PROGRAM MEMORANDUM AB-98-71.60.",,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/Q4149,"Excellagen, 0.1 cc",,,FALSE,C3710570,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L3595,"Orthopedic shoe addition, march bar",,,FALSE,C0499721,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3500-L3595,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S8940,"Equestrian/hippotherapy, per session",,,FALSE,C1616861,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20050401,0,Z2=Undefined codes,I=Not payable by Medicare,20050401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0465,"Autologous platelet rich plasma (prp) or other blood-derived product for diabetic chronic wounds/ulcers, using an fda-cleared device for this indication, (includes as applicable administration, dressings, phlebotomy, centrifugation or mixing, and all other preparatory procedures, per treatment)",,,FALSE,C5574495,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0452-G0465,N=No maintenance for this code,20230701,0,P5E=Ambulatory procedures - other,C=Carrier judgment,20210413,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",,,FALSE,C0392237,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0161,"Chlorpromazine hydrochloride, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",,,FALSE,C3710548,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0138-Q0249,N=No maintenance for this code,20140101,0,O1D=Chemotherapy,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4990-S5014,Therapeutic Substances and Medications,,,FALSE,C4542657,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20S0000-S9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater",,,FALSE,C0812701,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0776-E0791,N=No maintenance for this code,20000101,0,D1E=Other DME,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1404,Patients on a therapeutic clinical trial,,,FALSE,C5974351,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E2628,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining",,,FALSE,C3248409,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2626-E2633,N=No maintenance for this code,20120101,0,D1D=Wheelchairs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1460,"Injection, gamma globulin, intramuscular, 1 cc",,,FALSE,C0498866,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20170101,0,O1E=Other drugs,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,20170101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/H1011,Family assessment by licensed behavioral health professional for state defined purposes,,,FALSE,C1145183,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G2021,Health care practitioners rendering treatment in place (tip),,,FALSE,C5229049,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,M5D=Specialist - other,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A6607,"Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each",,,FALSE,C5883947,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6593-A6611,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1106,The start of an episode of care documented in the medical record,,,FALSE,C5203741,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M0002,Optimal care for kidney health mips value pathways,,,FALSE,C5771658,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A9275,"Home glucose disposable monitor, includes test strips",,,FALSE,C1617820,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20060101,0,T1E=Lab tests - glucose,M=Non-covered by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0131=PUBLICATION 100.2, CHAPTER 16, SECTION 20 - SERVICES NOT REASONABLE AND NECESSARY.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8310,"Truss, double with standard pads",,,FALSE,C0500166,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8300-L8330,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,70-1|70-2,,A=Not applicable as HCPCS priced under one methodology,2133,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1454,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg",,,FALSE,C4722252,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,D=Special coverage instructions apply,20190101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,0204=NCD 110.18.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1894,"Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser",,,FALSE,C0993793,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20020701,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5105,"Below knee, plastic socket, joints and thigh lacer, sach foot",,,FALSE,C0499829,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5100-L5105,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5585,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket",,,FALSE,C0499860,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5510-L5600,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S5185,"Medication reminder service, non-face-to-face; per month",,,FALSE,C1314582,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4364,"Adhesive, liquid or equal, any type, per oz",,,FALSE,C0993676,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",,,FALSE,C1144916,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0249,"Pad for water circulating heat unit, for replacement only",,,FALSE,C0492117,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0249-E0249,N=No maintenance for this code,20100101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4281,"Tubing for breast pump, replacement",,,FALSE,C1144909,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20070101,0,Z2=Undefined codes,C=Carrier judgment,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1282,Patient screened for tobacco use and identified as a tobacco non-user,,,FALSE,C5849230,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S0390,"Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit",,,FALSE,C1145313,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L1910,"Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment",,,FALSE,C0499523,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1900-L1990,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1952,"Leuprolide injectable, camcevi, 1 mg",,,FALSE,C5574558,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20221001,0,O1D=Chemotherapy,C=Carrier judgment,20220101,,,A=Not applicable as HCPCS priced under one methodology,,20221001,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1126,The start of an episode of care documented in the medical record,,,FALSE,C5203748,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4175,"Miroderm, per square centimeter",,,FALSE,C4316077,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9001-G9012,Coordinated Care,,,FALSE,C4542604,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q0490,"Emergency power source for use with electric ventricular assist device, replacement only",,,FALSE,C1616342,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2080,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated",,,FALSE,C0499545,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2040-L2090,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S0320,Telephone calls by a registered nurse to a disease management program member for monitoring purposes; per month,,,FALSE,C1314507,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20021001,0,Z2=Undefined codes,I=Not payable by Medicare,20021001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0554,"Each additional 20 minutes of monthly treatment management services directly related to the patient's therapeutic use of the digital mental health treatment (dmht) device that augments a behavioral therapy plan, physician/other qualified health care professional time reviewing data generated from the dmht device from patient observations and patient specific inputs in a calendar month and requiring at least one interactive communication with the patient/caregiver during the calendar month",,,FALSE,C5974187,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J7181,"Injection, factor xiii a-subunit, (recombinant), per iu",,,FALSE,C3871375,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/P9038,"Red blood cells, irradiated, each unit",,,FALSE,C0919118,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20010101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2455,,,,52=Reasonable charge,,,"0=Whole blood only eff 01/96, whole blood or packed red cells before 01/96",,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0700-L0720,Cervical-Thoracic-Lumbar-Sacral Orthotics,,,FALSE,C5228959,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L0100-L4999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0313,"Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 16-30 mins time (this code is used for medicaid billing purposes)",,,FALSE,C5771583,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20220511,0,M5D=Specialist - other,I=Not payable by Medicare,20220511,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,99=Value not established,0225=SERVICES FOR MEDICAID PURPOSES.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1323,Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop >25 mm hg and a plan of care was documented,,,FALSE,C5884188,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0589,"Injection, daxibotulinumtoxina-lanm, 1 unit",,,FALSE,C5883974,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,20240401,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K0013,Custom motorized/power wheelchair base,,,FALSE,C3710465,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20130701,0,D1D=Wheelchairs,D=Special coverage instructions apply,20130701,,,A=Not applicable as HCPCS priced under one methodology,,,,,45=Customized DME items,0188=PUB. 100-04 CH. 20 S. 30.3.,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8668,"Residual score for the elbow, wrist or hand impairment successfully calculated and the score was less than zero (< 0)",,,FALSE,C4746342,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V5030,"Hearing aid, monaural, body worn, air conduction",,,FALSE,C0500430,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5030-V5060,N=No maintenance for this code,19950101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A6507,"Compression burn garment, foot to knee length, custom fabricated",,,FALSE,C1144977,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0102,Prostate cancer screening; digital rectal examination,,,FALSE,C0812709,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0101-G0106,N=No maintenance for this code,20000101,0,Y1=Other - Medicare fee schedule,D=Special coverage instructions apply,20000101,50-55,,A=Not applicable as HCPCS priced under one methodology,4182,,,,11=Price established using national RVU's,"0079=ESTABLISHED PER BBA `97, SEC 4103.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/L6700,"Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement",,,FALSE,C5979754,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6700-L6882,A=Add procedure or modifier code,20250401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0225,"Hydrocollator unit, includes pads",,,FALSE,C0498398,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0200-E0239,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,2210.3,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C2630,"Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector mapping, cool-tip",,,FALSE,C0993816,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2617-C2631,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A7505,"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each",,,FALSE,C0918330,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7501-A7527,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0990,"Wheelchair accessory, elevating leg rest, complete assembly, each",,,FALSE,C0498560,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20V0000-V2999,Vision Services,,,FALSE,C0813131,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20V0000-V5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C1725,"Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)",,,FALSE,C0993736,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8477,Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg,,,FALSE,C3871277,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20150101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5298-V5299,Hearing Services - Other Supplies and Miscellaneous Services,,,FALSE,C4542669,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20V5000-V5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J2540,"Injection, penicillin g potassium, up to 600,000 units",,,FALSE,C0498959,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1620,"Blood pump for hemodialysis, replacement",,,FALSE,C0181177,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1271,"Injection, doxycycline hyclate, 1 mg",,,FALSE,C5979727,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S9500,"Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994257,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9490-S9810,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5653,"Addition to lower extremity, knee disarticulation, expandable wall socket",,,FALSE,C0499897,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A9285,Inversion/eversion correction device,,,FALSE,C4316069,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3918,"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf",,,FALSE,C3710531,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0879,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis)",,,FALSE,C5771608,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20220401,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9282,"Documentation of medical reason(s) for not reporting the histological type or nsclc-nos classification with an explanation (e.g., biopsy taken for other purposes in a patient with a history of non-small cell lung cancer or other documented medical reasons)",,,FALSE,C3710386,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A6260,"Wound cleansers, any type, any size",,,FALSE,C0520068,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20110101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2079,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,S=Surgical dressings or other medical supplies (eff 04/95)|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3430,"Heel, counter, plastic reinforced",,,FALSE,C0499702,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3430-L3485,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0448,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ventricular pacing",,,FALSE,C3248419,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0438-G0451,N=No maintenance for this code,20140101,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1172,"Documentation of medical reason(s) for not administering td or tdap vaccine (e.g., prior anaphylaxis due to the td or tdap vaccine or history of encephalopathy within seven days after a previous dose of a td-containing vaccine)",,,FALSE,C5771680,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V2512,"Contact lens, gas permeable, bifocal, per lens",,,FALSE,C0500388,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2500-V2599,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0984,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control",,,FALSE,C1314313,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/B5200,"Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, stress-branch chain amino acids-freamine-hbc-premix",,,FALSE,C4067396,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4164-B5200,N=No maintenance for this code,20160101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19880101,65-10,,A=Not applicable as HCPCS priced under one methodology,2130|4450,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/M1396,Patients on a therapeutic clinical trial,,,FALSE,C5974343,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9096,"Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; extent of disease initially established as t1-t3, n0-n1 or nx (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1616325,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C9738,Adjunctive blue light cystoscopy with fluorescent imaging agent (list separately in addition to code for primary procedure),,,FALSE,C4542697,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20180101,0,I1F=Standard imaging - other,D=Special coverage instructions apply,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),F=Ambulatory surgical center (facility usage for surgical services)|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/C1758,"Catheter, ureteral",,,FALSE,C0179799,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6531,"Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each",,,FALSE,C5883893,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),0072=COMPRESSION LEVELS FOR PRODUCTS IDENTIFIED BY THESE CODES (L8100 - L8200) HAVE BEEN VALIDATED BY A ASTM/NAHM SANCTIONED INDEPENDENT TEST FACILITY.,,"S=Surgical dressings or other medical supplies (eff 04/95)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/U0002,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc",,,FALSE,C5439806,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20U0000-U0002,N=No maintenance for this code,20200204,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,20200204,,,A=Not applicable as HCPCS priced under one methodology,,,,,"22=Price established by carriers (e.g., gap-fills, carrier established panels)",0221=THE SECRETARY HAS DETERMINED THERE IS A PUBLIC HEALTH EMERGENCY TO DEVELOP A CODE. THE SERVICE IS COVERED UNDER SECTION 564(B)(1)(C).,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/G9665,Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy,,,FALSE,C4067582,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G6007,"Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: up to 5 mev",,,FALSE,C3854154,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G6003-G6017,N=No maintenance for this code,20150101,0,P7A=Oncology - radiation therapy,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9381,"Injection, teplizumab-mzwv, 5 mcg",,,FALSE,C5848458,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20230701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9156,Evaluation for wheelchair requiring face to face visit with physician,,,FALSE,C3248641,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9156-G9156,N=No maintenance for this code,20120101,0,Z2=Undefined codes,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G2112,"Patient receiving <=5 mg daily prednisone (or equivalent), or ra activity is worsening, or glucocorticoid use is for less than 6 months",,,FALSE,C5229087,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/K0042,"Standard size footplate, replacement only, each",,,FALSE,C0499201,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,http://purl.bioontology.org/ontology/HCPCS/E0970,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,Provider Services and Supplies,,,FALSE,C4542654,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20S0000-S9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2398,"Wheelchair accessory, dynamic positioning hardware for back",,,FALSE,C5229024,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20240101,0,D1D=Wheelchairs,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0068,"Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 minutes",,,FALSE,C4722493,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0068-G0090,N=No maintenance for this code,20210101,0,M4A=Home visit,D=Special coverage instructions apply,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,"0223=THESE G CODES ARE ASSOCIATED WITH A NEW PART B BENEFIT CATEGORY ESTABLISHED BY THE FOLLOWING SECTIONS IN THE SOCIAL SECURITY ACT: 1861(s)(2)(GG), 1861(iii), 1834(u).",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L2006,"Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type activation, with or without ankle joint(s), custom fabricated",,,FALSE,C5229184,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2000-L2038,N=No maintenance for this code,20221001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1254,Patients who were deceased when the hu survey reached them,,,FALSE,C5884159,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0733,Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve,,,FALSE,C5574577,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20240101,0,D1E=Other DME,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7560,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s),,,FALSE,C5883968,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20240101,0,P8B=Endoscopy - upper gastrointestinal,D=Special coverage instructions apply,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,20240101,,YY,99=Value not established,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7500,"Azathioprine, oral, 50 mg",,,FALSE,C0499067,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20000101,0,O1E=Other drugs,D=Special coverage instructions apply,19880101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,,,,51=Drugs,,,G=Immunosuppressive drugs|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0300,"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure",,,FALSE,C1314296,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,20140401,0,D1B=Hospital beds,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2362,"Power wheelchair accessory, group 24 non-sealed lead acid battery, each",,,FALSE,C1314360,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9908,Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy),,,FALSE,C4542741,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A9563,"Sodium phosphate p-32, therapeutic, per millicurie",,,FALSE,C1618339,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,57=Other carrier priced,,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/S0317,Disease management program; per diem,,,FALSE,C1314506,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20030701,0,Z2=Undefined codes,I=Not payable by Medicare,20030701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9961,"Ambulance service, conventional air service, nonemergency transport, one way (rotary wing)",,,FALSE,C3710574,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9900-S9999,N=No maintenance for this code,20140101,0,O1A=Ambulance,I=Not payable by Medicare,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2605,"Positioning wheelchair seat cushion, width less than 22 inches, any depth",,,FALSE,C1508929,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2601-E2621,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1410,"Injection, estrogen conjugated, per 25 mg",,,FALSE,C0498860,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20170101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,20170101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/H0020,Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program),,,FALSE,C0919056,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1346,Patients who did not have a net increase in pam score of at least 6 points within a 4 to 12 month period,,,FALSE,C5974315,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S0515,"Scleral lens, liquid bandage device, per lens",,,FALSE,C1618907,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0500-S0596,N=No maintenance for this code,20041001,0,Z2=Undefined codes,I=Not payable by Medicare,20041001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Q4003,"Cast supplies, shoulder cast, adult (11 years +), plaster",,,FALSE,C0993998,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2526,"Contact lens, hydrophilic, with blue-violet filter, per lens",,,FALSE,C5884287,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2500-V2599,N=No maintenance for this code,20231001,0,Z2=Undefined codes,M=Non-covered by Medicare,20231001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0227=CHAPTER 15, SECTION 120 OF THE MEDICARE BENEFIT POLICY MANUAL.",,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4328,"Female external urinary collection device; pouch, each",,,FALSE,C0497824,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,19900101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1127,"Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care",,,FALSE,C5203734,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V2626,Reduction of ocular prosthesis,,,FALSE,C0500403,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2623-V2629,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19930101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1325,"Injection, epoprostenol, 0.5 mg",,,FALSE,C0520140,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19980101,0,O1E=Other drugs,D=Special coverage instructions apply,19980101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8935,Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy,,,FALSE,C2959157,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V5243,"Hearing aid, analog, monaural, itc (in the canal)",,,FALSE,C0994292,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,Other Medical Services,,,FALSE,C0813121,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000323,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A6578,"Gradient compression arm sleeve, each",,,FALSE,C5883919,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0968,"Commode seat, wheelchair",,,FALSE,C0498548,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1805,"Injection, esmolol hydrochloride, 10 mg",,,FALSE,C5884054,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1833,"Injection, isavuconazonium, 1 mg",,,FALSE,C4067604,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G6017,"Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment",,,FALSE,C2368623,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G6003-G6017,N=No maintenance for this code,20150101,0,P6C=Minor procedures - other (Medicare fee schedule),C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0248,"Injection, remdesivir, 1 mg",,,FALSE,C5771603,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20211223,0,O1E=Other drugs,C=Carrier judgment,20211223,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K0868,"Power wheelchair, group 4 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",,,FALSE,C1741953,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4215,"Needle, sterile, any size, each",,,FALSE,C0497786,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,20070101,0,D1A=Medical/surgical supplies,C=Carrier judgment,19850101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1371,Most recent glycemic status assessment (hba1c or gmi) level < 7.0%,,,FALSE,C5974319,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J1602,"Injection, golimumab, 1 mg, for intravenous use",,,FALSE,C3710456,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,20140101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S5115,"Home care training, non-family; per 15 minutes",,,FALSE,C1314558,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9124,"Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; accelerated phase not in hematologic cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)",,,FALSE,C1618372,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q0485,"Monitor control cable for use with electric ventricular assist device, replacement only",,,FALSE,C1618899,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1147,"Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery",,,FALSE,C5401230,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S4014,"Complete cycle, zygote intrafallopian transfer (zift), case rate",,,FALSE,C1145320,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0246,Transfer tub rail attachment,,,FALSE,C0498410,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0240-E0248,N=No maintenance for this code,19960101,0,D1E=Other DME,C=Carrier judgment,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8598,Aspirin or another antiplatelet therapy used,,,FALSE,C2729238,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20170101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9956,Patient received combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively,,,FALSE,C4542776,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E2373,"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware",,,FALSE,C1743161,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9437,"Childbirth refresher classes, non-physician provider, per session",,,FALSE,C1145342,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9034,"Injection, bendamustine hcl (bendeka), 1 mg",,,FALSE,C4316092,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20170101,0,O1D=Chemotherapy,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,20170101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0411,"Interactive group psychotherapy, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes",,,FALSE,C2368411,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0409-G0411,N=No maintenance for this code,20240101,0,P6D=Minor procedures - other (Non-Medicare fee schedule),C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4305-A4306,Disposable Drug Delivery System,,,FALSE,C4316316,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8599,"Aspirin or another antiplatelet therapy not used, reason not given",,,FALSE,C2729239,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20170101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J3385,"Injection, velaglucerase alfa, 100 units",,,FALSE,C2959261,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20110101,0,O1E=Other drugs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,20110101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/H0005,Alcohol and/or drug services; group counseling by a clinician,,,FALSE,C0919041,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q9956,"Injection, octafluoropropane microspheres, per ml",,,FALSE,C1617365,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9950-Q9969,N=No maintenance for this code,20050401,0,I1F=Standard imaging - other,C=Carrier judgment,20050401,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/C1760,"Closure device, vascular (implantable/insertable)",,,FALSE,C0993752,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0158,"Leg extensions for walker, per set of four (4)",,,FALSE,C0498370,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0156-E0159,N=No maintenance for this code,20000101,0,D1E=Other DME,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6594,"Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each",,,FALSE,C5883934,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6593-A6611,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4457,"Enema tube, with or without adapter, any type, replacement only, each",,,FALSE,C5574574,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20240101,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861s8,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1366,Focusing on women's health mips value pathway,,,FALSE,C5884225,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q9001,Assessment by chaplain services,,,FALSE,C5771724,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9001-Q9004,N=No maintenance for this code,20221001,0,Z2=Undefined codes,C=Carrier judgment,20201001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,99=Value not established,,,3=Consultation,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/STY/T063,Molecular Biology Research Technique,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T062,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T064,Governmental or Regulatory Activity,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T057,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T062,Research Activity,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T057,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T065,Educational Activity,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T057,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T060,Diagnostic Procedure,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T058,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T061,Therapeutic or Preventive Procedure,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T058,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T069,Environmental Effect of Humans,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T068,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T067,Phenomenon or Process,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T051,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T066,Machine Activity,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T052,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T068,Human-caused Phenomenon or Process,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T067,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/HCPCS/E0682,"Non-pneumatic sequential compression garment, full arm",,,FALSE,C5574586,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0678-E0683,N=No maintenance for this code,20240101,0,D1E=Other DME,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5828,"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control",,,FALSE,C0499961,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/B4187,"Omegaven, 10 grams lipids",,,FALSE,C5228998,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4164-B5200,N=No maintenance for this code,20200101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,39=Parenteral and enteral nutrition,0126=NCD MANUAL 180.2.,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/G9962,Embolization endpoints are documented separately for each embolized vessel and ovarian artery angiography or embolization performed in the presence of variant uterine artery anatomy,,,FALSE,C4542780,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L7259,"Electronic wrist rotator, any type",,,FALSE,C3871385,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7259-L7259,N=No maintenance for this code,20150101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9654,Monitored anesthesia care (mac),,,FALSE,C0497677,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0484,"Oscillatory positive expiratory pressure device, non-electric, any type, each",,,FALSE,C1145086,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1225,Intraocular pressure (iop) reduced by a value of greater than or equal to 20% from the pre-intervention level,,,FALSE,C5884130,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q5104,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",,,FALSE,C4746501,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20180401,0,O1E=Other drugs,D=Special coverage instructions apply,20180401,,,A=Not applicable as HCPCS priced under one methodology,,20180401,,YY,51=Drugs,"0187=PUB. 100-4, CHAPTER 17.",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0316,"Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes)",,,FALSE,C5771586,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20230101,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L2540,"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model",,,FALSE,C0499606,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2500-L2550,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S2102,Islet cell tissue transplant from pancreas; allogeneic,,,FALSE,C0919173,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0452,Molecular pathology procedure; physician interpretation and report,,,FALSE,C3534801,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0452-G0465,N=No maintenance for this code,20130101,0,T2D=Other tests - other,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A5051,"Ostomy pouch, closed; with barrier attached (1 piece), each",,,FALSE,C0497938,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5051-A5093,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0513,"Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preventive service)",,,FALSE,C4542706,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0513-G0514,N=No maintenance for this code,20180101,0,M5D=Specialist - other,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1242,Patient did not respond to the question of patient felt this provider and team understood what is important to me in my life,,,FALSE,C5884147,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J3070,"Injection, pentazocine, 30 mg",,,FALSE,C0498999,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0271,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes",,,FALSE,C1145146,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20030101,0,M5D=Specialist - other,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0615,"Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems",,,FALSE,C0498475,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0607-E0620,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,50-1|60-7,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0217,Water circulating heat pad with pump,,,FALSE,C0498396,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0200-E0239,N=No maintenance for this code,19970101,0,D1E=Other DME,D=Special coverage instructions apply,19970101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5080,"Glasses, bone conduction",,,FALSE,C0500435,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5070-V5110,N=No maintenance for this code,19950101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G8415,Footwear evaluation was not performed,,,FALSE,C1971257,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20080101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9756,Surgical procedures that included the use of silicone oil,,,FALSE,C4316193,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S0621,Routine ophthalmological examination including refraction; established patient,,,FALSE,C0812803,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0601-S0622,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3762,"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf",,,FALSE,C3710523,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3702-L3766,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1205,Itch severity assessment score is reduced by 3 or more points from the initial (index) assessment score to the follow-up visit score,,,FALSE,C5849212,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J0171,"Injection, adrenalin, epinephrine, 0.1 mg",,,FALSE,C2959226,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20110101,0,O1E=Other drugs,D=Special coverage instructions apply,20110101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E2394,"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each",,,FALSE,C1741940,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20070101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",,,FALSE,C0918986,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0130-E0155,N=No maintenance for this code,20160701,0,D1E=Other DME,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A2013,"Innovamatrix fs, per square centimeter",,,FALSE,C5771499,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20220401,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20220401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A4360,"Disposable external urethral clamp or compression device, with pad and/or pouch, each",,,FALSE,C2729446,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4356-A4360,N=No maintenance for this code,20100101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20100101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)","0124=PUBLICATION 100.2, CHAPTER 15, SS 120.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7528,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress",,,FALSE,C5771542,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P2F=Major procedure - cardiovascular - Other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/L6050,"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad",,,FALSE,C0499994,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6050-L6055,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J8560,"Etoposide; oral, 50 mg",,,FALSE,C0520153,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,N=No maintenance for this code,19970101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2306,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens",,,FALSE,C0500363,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K0831,"Power wheelchair, group 2 standard, seat elevator, captains chair, patient weight capacity up to and including 300 pounds",,,FALSE,C1738567,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2114,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment",,,FALSE,C0499552,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2106-L2136,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A5114,"Leg strap; foam or fabric, replacement only, per set",,,FALSE,C0520028,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5102-A5200,N=No maintenance for this code,19980101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9625,Patient sustained bladder injury at the time of surgery or discovered subsequently up to 30 days post-surgery,,,FALSE,C4746362,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/K0038,"Leg strap, each",,,FALSE,C0499197,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,19940101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20B0000-B9999,B Codes,,,FALSE,C4542552,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/MTHU000323,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/C1722,"Cardioverter-defibrillator, single chamber (implantable)",,,FALSE,C0993733,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1721-C1722,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6549,"Gradient compression garment, not otherwise specified, for daytime use, each",,,FALSE,C5979704,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,C=Change in long description of procedure or modifier code,20250401,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0206,"Injection, allopurinol sodium, 1 mg",,,FALSE,C5884022,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1D=Chemotherapy,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/T2012,"Habilitation, educational; waiver, per diem",,,FALSE,C1314612,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/STY/T114,"Nucleic Acid, Nucleoside, or Nucleotide",,,FALSE,,,http://purl.bioontology.org/ontology/STY/T109,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T116,"Amino Acid, Peptide, or Protein",,,FALSE,,,http://purl.bioontology.org/ontology/STY/T109,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/HCPCS/E1234,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system",,,FALSE,C1145114,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1229-E1239,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,D=Special coverage instructions apply,20030101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0396,"Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes",,,FALSE,C1971048,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0396-G0397,N=No maintenance for this code,20201001,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2428,"Injection, paliperidone palmitate extended release (erzofri), 1 mg",,,FALSE,C5979733,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q0508,Miscellaneous supply or accessory for use with an implanted ventricular assist device,,,FALSE,C3710550,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130401,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20130401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/K0008,Custom manual wheelchair/base,,,FALSE,C3710464,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20130701,0,D1D=Wheelchairs,D=Special coverage instructions apply,20130701,,,A=Not applicable as HCPCS priced under one methodology,,,,,45=Customized DME items,0188=PUB. 100-04 CH. 20 S. 30.3.,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1347,Patients who achieved a net increase in pam score of at least 3 points in a 4 to 12 month period (passing),,,FALSE,C5974316,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4205,"Membrane graft or membrane wrap, per square centimeter",,,FALSE,C5229197,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J9325,"Injection, talimogene laherparepvec, per 1 million plaque forming units",,,FALSE,C4316089,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,20170101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5811,"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material",,,FALSE,C0499954,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A5112,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each",,,FALSE,C0497958,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5102-A5200,N=No maintenance for this code,20110101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1773,"Retrieval device, insertable (used to retrieve fractured medical devices)",,,FALSE,C0993762,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9140,"Diabetic management program, follow-up visit to non-md provider",,,FALSE,C0812854,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/K0856,"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds",,,FALSE,C1742220,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0237,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring)",,,FALSE,C0993918,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20041001,0,P6C=Minor procedures - other (Medicare fee schedule),C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care|U=Occupational therapy|W=Physical therapy,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0705,"Transfer device, any type, each",,,FALSE,C1618912,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0700-E0705,N=No maintenance for this code,20080101,0,D1E=Other DME,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4387,"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each",,,FALSE,C0812614,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3460,"Heel, new rubber, standard",,,FALSE,C0499706,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3430-L3485,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0670,"Injection, mepivacaine hydrochloride, per 10 ml",,,FALSE,C0498790,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S9145,"Insulin pump initiation, instruction in initial use of pump (pump not included)",,,FALSE,C1145338,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8451,"Beta-blocker therapy for lvef <=40% not prescribed for reasons documented by the clinician (e.g., low blood pressure, fluid overload, asthma, patients recently treated with an intravenous positive inotropic agent, allergy, intolerance, other medical reasons, patient declined, other patient reasons)",,,FALSE,C1971292,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C1771,"Repair device, urinary, incontinence, with sling graft",,,FALSE,C0993760,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches",,,FALSE,C0520179,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9704,Ajcc breast cancer stage i: t1 mic or t1a documented,,,FALSE,C4316227,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0342,"Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion",,,FALSE,C1508977,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20041001,0,P1G=Major procedure - other,D=Special coverage instructions apply,20041001,35-82,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/STY/T026,Cell Component,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T021,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T020,Acquired Abnormality,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T190,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T025,Cell,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T021,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T023,"Body Part, Organ, or Organ Component",,,FALSE,,,http://purl.bioontology.org/ontology/STY/T021,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T028,Gene or Genome,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T021,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T022,Body System,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T169,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T029,Body Location or Region,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T082,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T024,Tissue,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T021,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T021,Fully Formed Anatomical Structure,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T017,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/HCPCS/C7510,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed",,,FALSE,C5771524,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P8F=Endoscopy - bronchoscopy,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/J2472,"Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg",,,FALSE,C5974262,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/B4180,"Parenteral nutrition solution; carbohydrates (dextrose), greater than 50% (500 ml = 1 unit) - home mix",,,FALSE,C0497991,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4164-B5200,N=No maintenance for this code,20020101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19860101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/C9773,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed",,,FALSE,C5439660,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20210101,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20210101,,,A=Not applicable as HCPCS priced under one methodology,,20210101,,YY,53=Statute,,1833(T),2=Surgery|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C9739,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants",,,FALSE,C3871259,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20140401,0,P5E=Ambulatory procedures - other,D=Special coverage instructions apply,20140401,,,A=Not applicable as HCPCS priced under one methodology,,20140401,,YY,53=Statute,,1833(t),2=Surgery|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1419,Patients who are not up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination,,,FALSE,C5974366,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S4024,"Air polymer-type a intrauterine foam, per study dose",,,FALSE,C5979778,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,A=Add procedure or modifier code,20250401,0,Z2=Undefined codes,I=Not payable by Medicare,20250401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/Q4275,"Esano aca, per square centimeter",,,FALSE,C5884243,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E2504,"Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time",,,FALSE,C1314369,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2500-E2599,N=No maintenance for this code,20190101,0,D1E=Other DME,D=Special coverage instructions apply,20040101,60-23,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0571,"Buprenorphine, oral, 1 mg",,,FALSE,C3871364,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20150101,0,O1E=Other drugs,D=Special coverage instructions apply,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0127=PUBLICATION 100.2, CHAPTER 15, 50.1.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1417,Patients who are up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination,,,FALSE,C5974364,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E2102,"Adjunctive, non-implanted continuous glucose monitor or receiver",,,FALSE,C5771578,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1902-E2120,N=No maintenance for this code,20230101,0,D1E=Other DME,C=Carrier judgment,20220401,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0403,"Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report",,,FALSE,C1508999,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0403-G0405,N=No maintenance for this code,20090101,0,T2C=Other tests - EKG monitoring,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,"0153=PURSUANT TO SECTION 101 (B) OF THE MEDICARE IMPROVEMENT FOR PATIENTS AND PROVIDERS ACT OF 2008 (MIPPA) EFFECTIVE JANUARY 1, 2009, WE EXPANDED COVERAGE FOR THE WELCOME TO MEDICARE BENEFIT; IT IS SUBJECT TO CERTAIN ELIGIBILITY AND OTHER LIMITATIONS THAT ALLOW PAYMENT FOR AN INITIAL PREVENTIVE PHYSICAL EXAMINATION (IPPE), NOT LATER THAN 12 MONTHS AFTER THE DATE THE INDIVIDUAL'S FIRST COVERAGE PERIOD BEGINS UNDER MEDICARE PART B.",,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/L3250,"Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each",,,FALSE,C0499678,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9292,"Documentation of medical reason(s) for not reporting pt category and a statement on thickness and ulceration and for pt1, mitotic rate (e.g., negative skin biopsies in a patient with a history of melanoma or other documented medical reasons)",,,FALSE,C3710393,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S0175,"Flutamide, oral, 125 mg",,,FALSE,C0994059,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1812,"Insulin (fiasp), per 5 units",,,FALSE,C5884056,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230701,0,O1E=Other drugs,D=Special coverage instructions apply,20230701,60-14,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0519,"Management of new patient-caregiver dyad with dementia, low complexity, for use in cmmi model",,,FALSE,C5974152,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0519-G0531,N=No maintenance for this code,20240701,0,Z2=Undefined codes,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/T2044,Hospice inpatient respite care; per diem,,,FALSE,C1314644,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/B4185,"Parenteral nutrition solution, not otherwise specified, 10 grams lipids",,,FALSE,C5228997,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4164-B5200,N=No maintenance for this code,20200101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,39=Parenteral and enteral nutrition,0126=NCD MANUAL 180.2.,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2405-L2492,Additions to Straight Knee or Offset Knee Joints Orthotics,,,FALSE,C5228964,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1600-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1171,"Injection, hydromorphone, 0.1 mg",,,FALSE,C5974239,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,D=Special coverage instructions apply,20241001,,,A=Not applicable as HCPCS priced under one methodology,2049,20250101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1405,Oxygen and water vapor enriching system with heated delivery,,,FALSE,C0498648,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1352-E1406,N=No maintenance for this code,19900101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19880101,60-4,,A=Not applicable as HCPCS priced under one methodology,4107,,,,33=Oxygen and oxygen equipment (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5245,"Hearing aid, digitally programmable, analog, monaural, itc",,,FALSE,C0994294,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9074,"Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage iiia-iiib; and not t3, n1, m0; and er and pr negative; with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1620999,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/P2028,"Cephalin floculation, blood",,,FALSE,C0500230,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P2028-P2038,N=No maintenance for this code,19900101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,50-34,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/G0314,"Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 16-30 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt)",,,FALSE,C5771584,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20220511,0,M5D=Specialist - other,I=Not payable by Medicare,20220511,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,99=Value not established,0225=SERVICES FOR MEDICAID PURPOSES.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L3530,"Orthopedic shoe addition, sole, half",,,FALSE,C0499714,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3500-L3595,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G4008,Geriatrics mips specialty set,,,FALSE,C5574511,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9982-Q9999,Radiopharmaceuticals,,,FALSE,C0182638,http://purl.bioontology.org/ontology/STY/T121|http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T121|http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/C7543,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)",,,FALSE,C5771556,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20240101,0,P8B=Endoscopy - upper gastrointestinal,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4301,"Activate matrix, per square centimeter",,,FALSE,C5884268,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9982,"Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 60 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology",,,FALSE,C4722259,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20181001,0,M1A=Office visits - new,C=Carrier judgment,20181001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K1027,"Oral device/appliance used to reduce upper airway collapsibility, without fixed mechanical hinge, custom fabricated, includes fitting and adjustment",,,FALSE,C5574588,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K1001-K1028,N=No maintenance for this code,20211001,0,Z2=Undefined codes,C=Carrier judgment,20211001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,99=Value not established,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9950-Q9969,Contrast Agents,,,FALSE,C0009924,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/G0019,"Community health integration services performed by certified or trained auxiliary personnel, including a community health worker, under the direction of a physician or other practitioner; 60 minutes per calendar month",,,FALSE,C5884001,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0019-G0024,N=No maintenance for this code,20240101,0,M5D=Specialist - other,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,"Community health integration services performed by certified or trained auxiliary personnel, including a community health worker, under the direction of a physician or other practitioner; 60 minutes per calendar month, in the following activities to address social determinants of health (sdoh) need(s) that are significantly limiting the ability to diagnose or treat problem(s) addressed in an initiating visit: person-centered assessment, performed to better understand the individualized context of the intersection between the sdoh need(s) and the problem(s) addressed in the initiating visit. ++ conducting a person-centered assessment to understand patient's life story, strengths, needs, goals, preferences and desired outcomes, including understanding cultural and linguistic factors and including unmet sdoh needs (that are not separately billed). ++ facilitating patient-driven goal-setting and establishing an action plan. ++ providing tailored support to the patient as needed to accomplish the practitioner's treatment plan. practitioner, home-, and community-based care coordination. ++ coordinating receipt of needed services from healthcare practitioners, providers, and facilities; and from home- and community-based service providers, social service providers, and caregiver (if applicable). ++ communication with practitioners, home- and community-based service providers, hospitals, and skilled nursing facilities (or other health care facilities) regarding the patient's psychosocial strengths and needs, functional deficits, goals, preferences, and desired outcomes, including cultural and linguistic factors. ++ coordination of care transitions between and among health care practitioners and settings, including transitions involving referral to other clinicians; follow-up after an emergency department visit; or follow-up after discharges from hospitals, skilled nursing facilities or other health care facilities. ++ facilitating access to community-based social services (e.g., housing, utilities, transportation, food assistance) to address the sdoh need(s). health education- helping the patient contextualize health education provided by the patient's treatment team with the patient's individual needs, goals, and preferences, in the context of the sdoh need(s), and educating the patient on how to best participate in medical decision-making. building patient self-advocacy skills, so that the patient can interact with members of the health care team and related community-based services addressing the sdoh need(s), in ways that are more likely to promote personalized and effective diagnosis or treatment. health care access / health system navigation. ++ helping the patient access healthcare, including identifying appropriate practitioners or providers for clinical care and helping secure appointments with them. facilitating behavioral change as necessary for meeting diagnosis and treatment goals, including promoting patient motivation to participate in care and reach person-centered diagnosis or treatment goals. facilitating and providing social and emotional support to help the patient cope with the problem(s) addressed in the initiating visit, the sdoh need(s), and adjust daily routines to better meet diagnosis and treatment goals. leveraging lived experience when applicable to provide support, mentorship, or inspiration to meet treatment goals",,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G2073,"Medication assisted treatment, naltrexone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)",,,FALSE,C5229064,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,M5D=Specialist - other,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0273,Bed board,,,FALSE,C0179261,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19890101,0,D1B=Hospital beds,M=Non-covered by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9365,"Home infusion therapy, total parenteral nutrition (tpn); one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem",,,FALSE,C0994237,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1250,"Lightweight wheelchair, fixed full length arms, swing away detachable footrest",,,FALSE,C0498616,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1240-E1270,N=No maintenance for this code,20010401,0,D1D=Wheelchairs,I=Not payable by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,K0003,,http://purl.bioontology.org/ontology/HCPCS/K0003,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1171,"Amputee wheelchair, fixed full length arms, without footrests or legrest",,,FALSE,C0498595,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1170-E1200,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0970,"No. 2 footplates, except for elevating leg rest",,,FALSE,C0498550,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20010401,0,D1D=Wheelchairs,I=Not payable by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",K0042|K0037,,http://purl.bioontology.org/ontology/HCPCS/K0042|http://purl.bioontology.org/ontology/HCPCS/K0037,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P9604,Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge,,,FALSE,C0500252,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9603-P9604,N=No maintenance for this code,19920101,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,19870101,,,A=Not applicable as HCPCS priced under one methodology,51141K,,,,"22=Price established by carriers (e.g., gap-fills, carrier established panels)","0039=SEE MEDICARE INTERMEDIARY MANUAL, PART 3 CLAIMS PROCESS SECTION 3628.F FOR PAYMENT GUIDELINES (P9610, P9615, G0001).",,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/J2601,"Injection, vasopressin (baxter), 1 unit",,,FALSE,C5974263,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20241001,0,O1E=Other drugs,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,20241001,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4246,"Betadine or phisohex solution, per pint",,,FALSE,C0497795,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20070101,0,D1A=Medical/surgical supplies,C=Carrier judgment,19850101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,S=Surgical dressings or other medical supplies (eff 04/95)|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8913,"Patient documented not to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event",,,FALSE,C3534788,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120401,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J1307,"Injection, crovalimab-akkz, 10 mg",,,FALSE,C5974242,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9505,Antibiotic regimen prescribed within 10 days after onset of symptoms for documented medical reason,,,FALSE,C4067456,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9626,"Documented medical reason for not reporting bladder injury (e.g., gynecologic or other pelvic malignancy documented, concurrent surgery involving bladder pathology, injury that occurs during a urinary incontinence procedure, patient death from non-medical causes not related to surgery, patient died during procedure without evidence of bladder injury)",,,FALSE,C4316248,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9100,"Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; post r0 resection (with or without neoadjuvant therapy) with no evidence of disease recurrence, progression, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1618369,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L8040,"Nasal prosthesis, provided by a non-physician",,,FALSE,C0919100,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8040-L8049,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S2112,"Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells)",,,FALSE,C0994105,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0248,"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results",,,FALSE,C1145123,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20080319,0,M1A=Office visits - new,D=Special coverage instructions apply,20020701,50.55,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9345,"Home infusion therapy, anti-hemophilic agent infusion therapy (e.g., factor viii); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994224,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q5130,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg",,,FALSE,C5884275,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20230401,0,O1E=Other drugs,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,20230401,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4223,"Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)",,,FALSE,C1508779,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,20070101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2626-E2633,Wheelchair: Arm Support,,,FALSE,C3248685,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9126,"Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; in hematologic, cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)",,,FALSE,C1617347,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4001,"Casting supplies, body cast adult, with or without head, plaster",,,FALSE,C0993996,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4225,"Amniobind or dermabind tl, per square centimeter",,,FALSE,C5884233,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20220401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Q4141,"Alloskin ac, per square centimeter",,,FALSE,C3710563,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E0447,"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm)",,,FALSE,C4746302,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20190101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,20190101,60.4,,A=Not applicable as HCPCS priced under one methodology,4107.9,,,,33=Oxygen and oxygen equipment (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5857,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type",,,FALSE,C1509061,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0399,"Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation",,,FALSE,C2368404,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0398-G0400,N=No maintenance for this code,20080313,0,T2D=Other tests - other,C=Carrier judgment,20080313,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A4271,"Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests",,,FALSE,C5974077,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20241001,0,D1E=Other DME,D=Special coverage instructions apply,20240401,60-11,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0610,"Annual gynecological examination, new patient",,,FALSE,C0812800,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0601-S0622,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9501,"Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994258,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9490-S9810,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C7546,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guidance and all associated radiological supervision and interpretation",,,FALSE,C5771559,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20250101,0,P6C=Minor procedures - other (Medicare fee schedule),C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3675,"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf",,,FALSE,C3710519,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3650-L3678,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19990101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/STY/T203,Drug Delivery Device,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T074,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T201,Clinical Attribute,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T032,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T200,Clinical Drug,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T073,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T204,Eukaryote,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T001,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0111-Q0115,Miscellaneous Lab Services (CMS Temporary Codes),,,FALSE,C5574415,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/G9785,"Pathology report diagnosing cutaneous basal cell carcinoma, squamous cell carcinoma, or melanoma (to include in situ disease) sent from the pathologist/ dermatopathologist to the biopsying clinician for review within 7 days from the time when the tissue specimen was received by the pathologist",,,FALSE,C5229147,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V5095,Semi-implantable middle ear hearing prosthesis,,,FALSE,C1145384,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5070-V5110,N=No maintenance for this code,20030101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2152,Residual score for the neck impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0),,,FALSE,C5229114,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/K0098,"Drive belt for power wheelchair, replacement only",,,FALSE,C0499257,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/A4774,"Ammonia test strips, for dialysis, per 50",,,FALSE,C0497917,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1713,Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable),,,FALSE,C0993724,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1052-C1715,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0710-E0716,Restraints/Enclosures; Pelvic Device,,,FALSE,C5974066,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0848,"Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",,,FALSE,C1742219,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9329,"Home infusion therapy, chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with s9330 or s9331)",,,FALSE,C0994214,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7645,"Ipratropium bromide, inhalation solution, compounded product, administered through dme, unit dose form, per milligram",,,FALSE,C1742213,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J3465,"Injection, voriconazole, 10 mg",,,FALSE,C1314423,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S5566,Insulin cartridge for use in insulin delivery device other than pump; 300 units,,,FALSE,C1314592,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5550-S5571,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6238,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing",,,FALSE,C0520047,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1456,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg",,,FALSE,C5771615,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2202,Patient did not receive brief counseling if identified as an unhealthy alcohol user,,,FALSE,C5439715,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V2629,"Prosthetic eye, other type",,,FALSE,C0500406,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2623-V2629,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J0132,"Injection, acetylcysteine, 100 mg",,,FALSE,C1618887,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,Temporary National Codes Established by Medicaid - Not Valid For Medicare,,,FALSE,C5439621,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20T1000-T9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/E1828,"Dynamic adjustable toe extension only device, includes soft interface material",,,FALSE,C5974144,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20250101,0,D1E=Other DME,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5698,"Addition to lower extremity, above knee or knee disarticulation, silesian bandage",,,FALSE,C0499930,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0408,"Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth",,,FALSE,C2368408,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0406-G0408,N=No maintenance for this code,20120101,0,M6=Consultations,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,3=Consultation,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L1610,"Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710500,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1600-L1690,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9002,"Coordinated care fee, maintenance rate",,,FALSE,C0919029,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9001-G9012,N=No maintenance for this code,20001001,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20001001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0097=FOR INSTRUCTIONS RELATED TO THE MEDICARE COORDINATED CARE DEMONSTRATION (MCCD) SEF CR1050, 1116 AND 1118.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S0093,"Injection, morphine sulfate, 500 mg (loading dose for infusion pump)",,,FALSE,C0994052,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9077,"Oncology; disease status; prostate cancer, limited to adenocarcinoma as predominant cell type; t1-t2c and gleason 2-7 and psa < or equal to 20 at diagnosis with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1617851,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4150,"Allowrap ds or dry, per square centimeter",,,FALSE,C3871388,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20150101,0,O1E=Other drugs,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J7514,"Mycophenolate mofetil (myhibbin), oral suspension, 100 mg",,,FALSE,C5974276,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,G=Immunosuppressive drugs|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8838,Patient not discharged to home by post-operative day #2 following cea,,,FALSE,C3248574,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C8909,"Magnetic resonance angiography with contrast, chest (excluding myocardium)",,,FALSE,C0993828,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8900-C8920,N=No maintenance for this code,20011001,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20011001,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1827,"Generator, neurostimulator (implantable), non-rechargeable, with implantable stimulation lead and external paired stimulation controller",,,FALSE,C5771513,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20230101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,53=Statute,,1833(t),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0072,"Front caster assembly, complete, with semi-pneumatic tire, replacement only, each",,,FALSE,C0499231,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/E0163,"Commode chair, mobile or stationary, with fixed arms",,,FALSE,C0498373,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0163-E0175,N=No maintenance for this code,20070101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4380,"Ostomy pouch, urinary, with faceplate attached, rubber, each",,,FALSE,C0812608,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9341,"Home therapy; enteral nutrition via gravity; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem",,,FALSE,C0994221,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0266,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress",,,FALSE,C0498419,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19910101,0,D1B=Hospital beds,D=Special coverage instructions apply,19860101,60-18,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7538,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (e.g., for upgrade to dual chamber system)",,,FALSE,C5771551,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P2E=Major procedure - cardiovascular - Pacemaker insertion,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S0630,Removal of sutures; by a physician other than the physician who originally closed the wound,,,FALSE,C0919166,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S2095,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres",,,FALSE,C1314513,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20040101,0,Z2=Undefined codes,I=Not payable by Medicare,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6579,"Gradient compression glove, custom, medium weight, each",,,FALSE,C5883920,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4197,"Puraply xt, per square centimeter",,,FALSE,C4746493,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L0639,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C1616844,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0628-L0640,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A2029,"Mirotract wound matrix sheet, per cubic centimeter",,,FALSE,C5974076,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20241001,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L0622,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated",,,FALSE,C1509034,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0621-L0624,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5242,"Hearing aid, analog, monaural, cic (completely in the ear canal)",,,FALSE,C0994291,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/AY,Item or service furnished to an esrd patient that is not for the treatment of esrd,,,FALSE,C2959335,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20110101,,,C=Carrier judgment,20110101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/AO,Alternate payment method declined by provider of service,,,FALSE,C3710262,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20131001,,,C=Carrier judgment,20131001,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/AX,Item furnished in conjunction with dialysis services,,,FALSE,C1144845,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,C=Carrier judgment,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A8,Dressing for eight wounds,,,FALSE,C1144843,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,C=Carrier judgment,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/AD,Medical supervision by a physician: more than four concurrent anesthesia procedures,,,FALSE,C0497587,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20010101,,,D=Special coverage instructions apply,19840101,,,,3350.5,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A3,Dressing for three wounds,,,FALSE,C1144839,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,C=Carrier judgment,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A2,Dressing for two wounds,,,FALSE,C1144838,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,C=Carrier judgment,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/AW,Item furnished in conjunction with a surgical dressing,,,FALSE,C0497600,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,C=Carrier judgment,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/AU,"Item furnished in conjunction with a urological, ostomy, or tracheostomy supply",,,FALSE,C0497598,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,C=Carrier judgment,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4,Dressing for four wounds,,,FALSE,C1144840,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,C=Carrier judgment,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/AB,"Audiology service furnished personally by an audiologist without a physician/npp order for non-acute hearing assessment unrelated to disequilibrium, or hearing aids, or examinations for the purpose of prescribing, fitting, or changing hearing aids; service may be performed once every 12 months, per beneficiary",,,FALSE,C5771740,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20230101,,,C=Carrier judgment,20230101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/AH,Clinical psychologist,,,FALSE,C0237412,http://purl.bioontology.org/ontology/STY/T097,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,D=Special coverage instructions apply,19910101,,,,2150|5112,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T097
http://purl.bioontology.org/ontology/HCPCS/A7,Dressing for seven wounds,,,FALSE,C1144842,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,C=Carrier judgment,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A6,Dressing for six wounds,,,FALSE,C1145425,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,C=Carrier judgment,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/AI,Principal physician of record,,,FALSE,C2729419,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20100101,,,C=Carrier judgment,20100101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/AF,Specialty physician,,,FALSE,C1508822,http://purl.bioontology.org/ontology/STY/T097,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20050101,,,C=Carrier judgment,20050101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T097
http://purl.bioontology.org/ontology/HCPCS/AJ,Clinical social worker,,,FALSE,C0497591,http://purl.bioontology.org/ontology/STY/T097,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,D=Special coverage instructions apply,19910101,,,,2152|5113,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T097
http://purl.bioontology.org/ontology/HCPCS/AV,"Item furnished in conjunction with a prosthetic device, prosthetic or orthotic",,,FALSE,C0497599,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,C=Carrier judgment,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/AR,Physician provider services in a physician scarcity area,,,FALSE,C1508825,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20050101,,,C=Carrier judgment,20050101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/AM,"Physician, team member service",,,FALSE,C0497594,http://purl.bioontology.org/ontology/STY/T097,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,D=Special coverage instructions apply,19910101,,,,4105.7,,,,,"0069=FOR ASSISTANT SURGEON SERVICES MODIFIERS 80, 81, 82, AK, AL, AM, AN, AS, AU, AV, AW, AY, QB, QU SEE MCM SECTION 15044.",,,QM,,http://purl.bioontology.org/ontology/HCPCS/QM,http://purl.bioontology.org/ontology/STY/T097
http://purl.bioontology.org/ontology/HCPCS/A9,Dressing for nine or more wounds,,,FALSE,C1144844,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,C=Carrier judgment,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A5,Dressing for five wounds,,,FALSE,C1144841,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,C=Carrier judgment,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/AS,"Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery",,,FALSE,C0694907,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19880101,,,,,,,,,"0069=FOR ASSISTANT SURGEON SERVICES MODIFIERS 80, 81, 82, AK, AL, AM, AN, AS, AU, AV, AW, AY, QB, QU SEE MCM SECTION 15044.",,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A1,Dressing for one wound,,,FALSE,C1144837,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,C=Carrier judgment,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/AK,Non participating physician,,,FALSE,C1508824,http://purl.bioontology.org/ontology/STY/T097,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20050101,,,C=Carrier judgment,20050101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T097
http://purl.bioontology.org/ontology/HCPCS/AE,Registered dietician,,,FALSE,C1553101,http://purl.bioontology.org/ontology/STY/T097,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20050101,,,C=Carrier judgment,20050101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T097
http://purl.bioontology.org/ontology/HCPCS/AG,Primary physician,,,FALSE,C1508823,http://purl.bioontology.org/ontology/STY/T097,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20050101,,,C=Carrier judgment,20050101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T097
http://purl.bioontology.org/ontology/HCPCS/AT,"Acute treatment (this modifier should be used when reporting service 98940, 98941, 98942)",,,FALSE,C0520010,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19980101,,,C=Carrier judgment,19840101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/AZ,Physician providing a service in a dental health professional shortage area for the purpose of an electronic health record incentive payment,,,FALSE,C2959336,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20110101,,,I=Not payable by Medicare,20110101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/AQ,Physician providing a service in an unlisted health professional shortage area (hpsa),,,FALSE,C1616799,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20060101,,,C=Carrier judgment,20060101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/AA,Anesthesia services performed personally by anesthesiologist,,,FALSE,C0497584,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20010101,,,D=Special coverage instructions apply,19840101,,,,3350.5,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/AP,Determination of refractive state was not performed in the course of diagnostic ophthalmological examination,,,FALSE,C0497596,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19840101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9507,"Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs)",,,FALSE,C4067458,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/H2010,"Comprehensive medication services, per 15 minutes",,,FALSE,C1314383,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9108,"Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)",,,FALSE,C1618370,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6504,"Compression burn garment, glove to wrist, custom fabricated",,,FALSE,C1144974,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4002,"Cast supplies, body cast adult, with or without head, fiberglass",,,FALSE,C0993997,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5626,"Addition to lower extremity, test socket, hip disarticulation",,,FALSE,C0499874,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5618-L5628,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4016,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass",,,FALSE,C0994011,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8499,Unlisted procedure for miscellaneous prosthetic services,,,FALSE,C0500183,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8499-L8499,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0175,"Injection, donanemab-azbt, 2 mg",,,FALSE,C5974214,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240702,0,O1E=Other drugs,C=Carrier judgment,20240702,,,A=Not applicable as HCPCS priced under one methodology,,20240702,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2326,"Injection, nusinersen, 0.1 mg",,,FALSE,C4542692,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,20180101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2148,Multimodal pain management was used,,,FALSE,C5229110,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7342,"Instillation, ciprofloxacin otic suspension, 6 mg",,,FALSE,C4316094,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7330-J7402,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,20170101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4313,"Dermabind fm, per square centimeter",,,FALSE,C5974390,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A6237,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",,,FALSE,C0520046,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4346,"Indwelling catheter; foley type, three way for continuous irrigation, each",,,FALSE,C0497831,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19830101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9231,"Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period",,,FALSE,C3710335,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9550,"Final reports for imaging studies with follow-up imaging recommended, or final reports that do not include a specific recommendation of no follow-up",,,FALSE,C5229144,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S3865,Comprehensive gene sequence analysis for hypertrophic cardiomyopathy,,,FALSE,C2729378,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S3800-S3870,N=No maintenance for this code,20090401,0,Z2=Undefined codes,I=Not payable by Medicare,20090401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/C8921,"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; complete",,,FALSE,C1971556,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8921-C8930,N=No maintenance for this code,20080101,0,I3C=Echography/ultrasonography - heart,D=Special coverage instructions apply,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/J0751,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)",,,FALSE,C5884037,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,D=Special coverage instructions apply,20240102,,,A=Not applicable as HCPCS priced under one methodology,2049,20250101,,YY,57=Other carrier priced,,1861(ddd),1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1115,"Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)",,,FALSE,C5203713,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J3397,"Injection, vestronidase alfa-vjbk, 1 mg",,,FALSE,C4746411,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A8001,"Helmet, protective, hard, prefabricated, includes all components and accessories",,,FALSE,C1736930,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A8000-A8004,N=No maintenance for this code,20070101,0,D1E=Other DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8541,"Functional outcome assessment using a standardized tool not documented, reason not given",,,FALSE,C2368475,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5D=Specialist - other,C=Carrier judgment,20090101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A5113,"Leg strap; latex, replacement only, per set",,,FALSE,C0520027,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5102-A5200,N=No maintenance for this code,19980101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1200,"Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only",,,FALSE,C0499469,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1200-L1290,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6400-L6570,Prosthetic Procedures - Upper Limb - Molded Socket,,,FALSE,C5228977,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1781,Mesh (implantable),,,FALSE,C0993768,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0141,"Walker, rigid, wheeled, adjustable or fixed height",,,FALSE,C0498359,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0130-E0155,N=No maintenance for this code,20040101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5632,"Addition to lower extremity, symes type, 'ptb' brim design socket",,,FALSE,C0499879,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1816,"Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories",,,FALSE,C0993873,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,C=Change in long description of procedure or modifier code,20250401,0,D1E=Other DME,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2129,"Procedure-related bp's not taken during an outpatient visit. examples include same day surgery, ambulatory service center, g.i. lab, dialysis, infusion center, chemotherapy",,,FALSE,C5229097,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0739,"Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors",,,FALSE,C5974131,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20241001,0,D1E=Other DME,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9311,"Injection, rituximab 10 mg and hyaluronidase",,,FALSE,C4746422,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20190101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20190101,,,A=Not applicable as HCPCS priced under one methodology,2049,20190101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9319,"Injection, romidepsin, lyophilized, 0.1 mg",,,FALSE,C5574571,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20211001,0,O1D=Chemotherapy,C=Carrier judgment,20211001,,,A=Not applicable as HCPCS priced under one methodology,,20211001,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0501-G0501,Resource-Intensive Service,,,FALSE,C4542596,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G8450,Beta-blocker therapy prescribed,,,FALSE,C1314136,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5910,"Addition, endoskeletal system, below knee, alignable system",,,FALSE,C0499968,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6611,"Addition to upper extremity prosthesis, external powered, additional switch, any type",,,FALSE,C1738573,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4633,"Replacement bulb/lamp for ultraviolet light therapy system, each",,,FALSE,C1144950,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4630-A4640,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6621,"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device",,,FALSE,C1618382,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C2621,"Pacemaker, other than single or dual chamber (implantable)",,,FALSE,C0993810,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2617-C2631,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2745,"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens",,,FALSE,C1314654,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,2130.B,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A6460,"Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",,,FALSE,C4746277,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6413-A6461,N=No maintenance for this code,20190101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q3027-Q3028,Additional Drugs (CMS Temporary Codes),,,FALSE,C2729410,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/L5830,"Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control",,,FALSE,C0499962,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C7517,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation",,,FALSE,C5771531,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P2F=Major procedure - cardiovascular - Other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G9630,Patient did not sustain a bowel injury at the time of surgery nor discovered subsequently up to 30 days post-surgery,,,FALSE,C4746365,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A6589,"Gradient pressure wrap with adjustable straps, bra, each",,,FALSE,C5883930,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9695,Long-acting inhaled bronchodilator prescribed,,,FALSE,C4316234,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V2220,Bifocal add over 3.25d,,,FALSE,C0500355,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1255,"Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob provider (e.g., plan to terminate the pregnancy or seek prenatal services elsewhere)",,,FALSE,C5884160,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9014,Esrd demo expanded bundle including venous access and related services,,,FALSE,C1509003,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20040701,0,Y2=Other - Non-Medicare fee schedule,M=Non-covered by Medicare,20040701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0096=SERVICE REPRESENTED BY G9106 IS REPORTABLE ONLY BY PARTICIPANTS IN THE SMOKING CESSATION COUNSELING DEMONSTRATION PROJECT.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1384,Patients who died during the performance period,,,FALSE,C5974332,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L3650-L3999,Orthotic Devices: Upper Limb,,,FALSE,C2014896,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L0100-L4999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2371,"Injection, phenylephrine hydrochloride, 20 micrograms",,,FALSE,C5884068,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8562,Patient does not have a history of active drainage from the ear within the previous 90 days,,,FALSE,C2729204,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20100101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",,,FALSE,C1738024,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0153,"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)",,,FALSE,C3871363,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20150101,0,O1E=Other drugs,D=Special coverage instructions apply,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0194=PUB. 100-4, CH. 15.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A5053,"Ostomy pouch, closed; for use on faceplate, each",,,FALSE,C0497940,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5051-A5093,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9716,"Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason",,,FALSE,C4316219,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,Vision Services - Miscellaneous,,,FALSE,C4746267,http://purl.bioontology.org/ontology/STY/T185,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20V0000-V2999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T185
http://purl.bioontology.org/ontology/HCPCS/Q9969,"Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose",,,FALSE,C3534661,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9950-Q9969,N=No maintenance for this code,20130101,0,Y1=Other - Medicare fee schedule,D=Special coverage instructions apply,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,0179=CY 2013 OPPS/ASC FINAL RULE.,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/J0599,"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units",,,FALSE,C4746403,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20220101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4100-B4162,Enteral Formulas and Additives,,,FALSE,C2224426,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20B4000-B9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/M1032,Adults currently taking pharmacotherapy for oud,,,FALSE,C4746449,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/J8540,"Dexamethasone, oral, 0.25 mg",,,FALSE,C1619396,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,N=No maintenance for this code,20060101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,1861(s)2T,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9527,"Iodine i-125, sodium iodide solution, therapeutic, per millicurie",,,FALSE,C1740511,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20070101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/S5001,"Prescription drug, brand name",,,FALSE,C0919189,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4990-S5014,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1110,"Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest",,,FALSE,C0498589,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1100-E1110,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8956,Patient receiving maintenance hemodialysis in an outpatient dialysis facility,,,FALSE,C3534754,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V2430,"Variable asphericity lens, bifocal, full field, glass or plastic, per lens",,,FALSE,C0500380,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2410-V2499,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19840101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4545,"Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month",,,FALSE,C5974081,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20241001,0,D1E=Other DME,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6442,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard",,,FALSE,C1314244,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6413-A6461,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A5121,"Skin barrier; solid, 6 x 6 or equivalent, each",,,FALSE,C0497960,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5102-A5200,N=No maintenance for this code,19900101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8485,"Prosthetic sock, single ply, fitting, upper limb, each",,,FALSE,C0500181,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8400-L8485,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19940101,,,A=Not applicable as HCPCS priced under one methodology,2133,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0612,"Injection, calcium gluconate, not otherwise specified, 10 mg",,,FALSE,C5974228,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240401,0,O1E=Other drugs,D=Special coverage instructions apply,20230401,,,A=Not applicable as HCPCS priced under one methodology,2049,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1023,"Wheelchair transit securement system, includes all components and accessories",,,FALSE,C5979717,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,A=Add procedure or modifier code,20250401,0,D1D=Wheelchairs,S=Non-covered by Medicare statute,20250401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8613,Ossicula implant,,,FALSE,C0029395,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8608-L8629,N=No maintenance for this code,19971001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19920101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9016,"Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only]",,,FALSE,C0919036,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20010101,0,Y2=Other - Non-Medicare fee schedule,M=Non-covered by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0096=SERVICE REPRESENTED BY G9106 IS REPORTABLE ONLY BY PARTICIPANTS IN THE SMOKING CESSATION COUNSELING DEMONSTRATION PROJECT.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q0498,"Holster for use with electric or electric/pneumatic ventricular assist device, replacement only",,,FALSE,C1616343,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6382,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow",,,FALSE,C0500010,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6380-L6388,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2311,"Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware",,,FALSE,C1314340,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0409-G0411,Psychological Services,,,FALSE,C4542584,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0270,"Hospital bed, institutional type includes: oscillating, circulating and stryker frame, with mattress",,,FALSE,C0498420,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19930101,0,D1B=Hospital beds,M=Non-covered by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7308,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)",,,FALSE,C0993951,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7308-J7309,N=No maintenance for this code,20040101,0,O1E=Other drugs,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S9447,"Infant safety (including cpr) classes, non-physician provider, per session",,,FALSE,C1145346,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",,,FALSE,C0499781,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3960-L3973,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0078,"Moderate (45 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)",,,FALSE,C4746309,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0068-G0090,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S8097,"Asthma kit (including but not limited to portable peak expiratory flow meter, instructional video, brochure, and/or spacer)",,,FALSE,C0994165,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8096-S8210,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0691,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less",,,FALSE,C1145090,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0691-E0694,N=No maintenance for this code,20120101,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0547,"Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, including a verbal and written report to the patient's treating/requesting practitioner; 11-20 minutes of medical consultative discussion and review",,,FALSE,C5974180,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4250,Urine test or reagent strips or tablets (100 tablets or strips),,,FALSE,C0497797,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,19970101,0,T1E=Lab tests - glucose,M=Non-covered by Medicare,19900101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2100,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4415,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each",,,FALSE,C1144923,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7530,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty and all angioplasty in the central dialysis segment, with transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging, radiological supervision and interpretation, documentation and report",,,FALSE,C5771544,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P6C=Minor procedures - other (Medicare fee schedule),C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1379,"A 10 year follow-up interval for colonoscopy not recommended, reason not otherwise specified",,,FALSE,C5974327,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/T2040,"Financial management, self-directed, waiver; per 15 minutes",,,FALSE,C1314640,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1300,"Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)",,,FALSE,C5849241,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4156,"Neox 100 or clarix 100, per square centimeter",,,FALSE,C3871394,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/K0800,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds",,,FALSE,C1742215,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,Ostomy Supplies,,,FALSE,C0776760,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5926,"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type",,,FALSE,C5574583,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,20240101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9566,"Technetium tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries",,,FALSE,C1618911,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7900-L7902,Prosthetic Procedures - Penile Prosthetics,,,FALSE,C4542641,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L7700-L8499,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9601,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)",,,FALSE,C3534812,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9600-C9610,N=No maintenance for this code,20130101,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,"0107=PAYMENT IS FOR HOSPITAL OUTPATIENT ONLY. NOT PAYABLE UNDER THE PHYSICIAN FEE SCHEDULE; IN ACCORDANCE WITH FR DATE 8/9/2002 (HOPPS), PAGE 52105.",1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9358,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",,,FALSE,C5439759,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20200701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9789,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed",,,FALSE,C5883984,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20231001,0,P5E=Ambulatory procedures - other,D=Special coverage instructions apply,20231001,,,A=Not applicable as HCPCS priced under one methodology,,20231001,,YY,53=Statute,,1833(t),2=Surgery|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J3095,"Injection, telavancin, 10 mg",,,FALSE,C2958902,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20110101,0,O1E=Other drugs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,20110101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4171,"Interfyl, 1 mg",,,FALSE,C4316080,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/S4026,Procurement of donor sperm from sperm bank,,,FALSE,C0994140,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J1642,"Injection, heparin sodium, (heparin lock flush), per 10 units",,,FALSE,C0498886,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0215,"Non-emergency transportation; mileage, per mile",,,FALSE,C0994073,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/J9022,"Injection, atezolizumab, 10 mg",,,FALSE,C4284572,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20180101,0,O1D=Chemotherapy,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,20180101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7187,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco",,,FALSE,C1738561,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20080101,0,O1E=Other drugs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",,,FALSE,C0497828,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4726,"Dialysate solution, any concentration of dextrose, fluid volume greater than 5999 cc, for peritoneal dialysis",,,FALSE,C0993695,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S5497,"Home infusion therapy, catheter care / maintenance, not otherwise classified; includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994152,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5497-S5523,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/P2029,"Congo red, blood",,,FALSE,C0500231,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P2028-P2038,N=No maintenance for this code,19900101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,50-34,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/M1037,Patients with a diagnosis of lumbar spine region cancer at the time of the procedure,,,FALSE,C4746453,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/E2327,"Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware",,,FALSE,C1314348,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0898,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)",,,FALSE,C5771612,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230101,0,O1E=Other drugs,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,2049,20230101,,YY,51=Drugs,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1211,Most recent glycemic status assessment (hba1c or gmi) level > 9.0%,,,FALSE,C5974309,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J9296,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg",,,FALSE,C5884101,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,20230401,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",,,FALSE,C0520061,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1046,"Functional status measured by the oxford knee score (oks) at one year (9 to 15 months) postoperatively was less than 37 or the knee injury and osteoarthritis outcome score joint replacement (koos, jr.) was less than 71 postoperatively",,,FALSE,C5203716,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A6539,"Gradient compression stocking, waist length, 18-30 mmhg, each",,,FALSE,C0500160,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9605,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; each additional branch subtended by the bypass graft (list separately in addition to code for primary procedure)",,,FALSE,C3534808,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9600-C9610,N=No maintenance for this code,20130101,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,"0107=PAYMENT IS FOR HOSPITAL OUTPATIENT ONLY. NOT PAYABLE UNDER THE PHYSICIAN FEE SCHEDULE; IN ACCORDANCE WITH FR DATE 8/9/2002 (HOPPS), PAGE 52105.",1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L8614,"Cochlear device, includes all internal and external components",,,FALSE,C0500190,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8608-L8629,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19920101,65-14,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2008,"Moderate (45 minutes) in-home visit for an existing patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)",,,FALSE,C5229044,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0122,"Injection, eravacycline, 1 mg",,,FALSE,C5229152,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,20191001,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9576,"Injection, gadoteridol, (prohance multipack), per ml",,,FALSE,C1971406,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20080101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S0012,"Butorphanol tartrate, nasal spray, 25 mg",,,FALSE,C0812772,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4570,Splint,,,FALSE,C0038009,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20010701,0,D1A=Medical/surgical supplies,I=Not payable by Medicare,19820101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,52=Reasonable charge,,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1003,"Wheelchair accessory, power seating system, recline only, without shear reduction",,,FALSE,C1314317,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6461,"Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",,,FALSE,C4746278,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6413-A6461,N=No maintenance for this code,20190101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9072,"Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage i, or stage iia-iib; or t3, n1, m0; and er and pr negative; with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1616322,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5679,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism",,,FALSE,C1314469,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0744,Neuromuscular stimulator for scoliosis,,,FALSE,C0498502,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,19960101,0,D1E=Other DME,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8564,"Patient was referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not specified)",,,FALSE,C2729206,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20100101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0091-Q0091,Smear Preparation (CMS Temporary Codes),,,FALSE,C2729402,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/T1030,"Nursing care, in the home, by registered nurse, per diem",,,FALSE,C1145372,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2500,"Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time",,,FALSE,C1314367,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2500-E2599,N=No maintenance for this code,20190101,0,D1E=Other DME,D=Special coverage instructions apply,20040101,60-23,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/A9283,"Foot pressure off loading/supportive device, any type, each",,,FALSE,C1971399,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20080101,0,D1E=Other DME,S=Non-covered by Medicare statute,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862a(i)13,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0692,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel",,,FALSE,C1145091,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0691-E0694,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7360-L7368,Prosthetic Procedures - Upper Limb - Battery Components,,,FALSE,C5228984,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/L6905,"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining",,,FALSE,C0500105,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6890-L6915,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8473,Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed,,,FALSE,C1971311,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20080101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5200,"Above knee, molded socket, single axis constant friction knee, shin, sach foot",,,FALSE,C0499832,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5200-L5230,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1097,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml",,,FALSE,C5229157,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,20191001,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9580,"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries",,,FALSE,C2713110,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20090101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/M1250,"Patient responded as ""completely true"" for the question of patient felt heard and understood by this provider and team",,,FALSE,C5884155,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G2189,Patients with clinical indications for imaging of the head: abnormal neurologic exam,,,FALSE,C5439702,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C9792,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein access, including all imaging necessary to intra procedurally map the coronary sinus for optimal shunt placement (e.g., tee or ice ultrasound, fluoroscopy), performed under general anesthesia in an approved investigational device exemption (ide) study)",,,FALSE,C5883987,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20231001,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20231001,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20B4000-B9999,Enteral and Parenteral Therapy Supplies,,,FALSE,C0812893,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20B0000-B9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9605,Patient survey score did not improve from baseline following treatment,,,FALSE,C4067528,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4207,"Syringe with needle, sterile 2 cc, each",,,FALSE,C0993673,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,20070101,0,D1A=Medical/surgical supplies,C=Carrier judgment,19850101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5140,"Binaural, behind the ear",,,FALSE,C0500441,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,19950101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/H2027,"Psychoeducational service, per 15 minutes",,,FALSE,C1314400,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0786,"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter)",,,FALSE,C0918997,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0776-E0791,N=No maintenance for this code,20010101,0,D1E=Other DME,D=Special coverage instructions apply,20010101,60-14,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",,,FALSE,C0498524,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,19840101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8691,"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each",,,FALSE,C1741418,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8690-L9900,N=No maintenance for this code,20180101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q5116,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",,,FALSE,C5229219,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4311,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",,,FALSE,C0497812,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,19900101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0070,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each",,,FALSE,C0499229,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20160701,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/A9537,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries",,,FALSE,C1620969,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/U9,"Medicaid level of care 9, as defined by each state",,,FALSE,C1144902,http://purl.bioontology.org/ontology/STY/T064,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,I=Not payable by Medicare,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T064
http://purl.bioontology.org/ontology/HCPCS/U2,"Medicaid level of care 2, as defined by each state",,,FALSE,C1144895,http://purl.bioontology.org/ontology/STY/T064,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,I=Not payable by Medicare,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T064
http://purl.bioontology.org/ontology/HCPCS/U7,"Medicaid level of care 7, as defined by each state",,,FALSE,C1144900,http://purl.bioontology.org/ontology/STY/T064,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,I=Not payable by Medicare,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T064
http://purl.bioontology.org/ontology/HCPCS/UQ,Four patients served,,,FALSE,C1314212,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20040101,,,C=Carrier judgment,20040101,,,,,,,,,"0114=FOR MEDICARE PURPOSES, MODIFIERS UN-US WOULD BE REPORTED WITH R0075.",,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/U8,"Medicaid level of care 8, as defined by each state",,,FALSE,C1144901,http://purl.bioontology.org/ontology/STY/T064,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,I=Not payable by Medicare,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T064
http://purl.bioontology.org/ontology/HCPCS/US,Six or more patients served,,,FALSE,C1314214,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20040101,,,C=Carrier judgment,20040101,,,,,,,,,"0114=FOR MEDICARE PURPOSES, MODIFIERS UN-US WOULD BE REPORTED WITH R0075.",,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/UC,"Medicaid level of care 12, as defined by each state",,,FALSE,C1144904,http://purl.bioontology.org/ontology/STY/T064,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,I=Not payable by Medicare,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T064
http://purl.bioontology.org/ontology/HCPCS/U3,"Medicaid level of care 3, as defined by each state",,,FALSE,C1144896,http://purl.bioontology.org/ontology/STY/T064,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,I=Not payable by Medicare,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T064
http://purl.bioontology.org/ontology/HCPCS/UG,Services provided in the afternoon,,,FALSE,C1314206,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030401,,,I=Not payable by Medicare,20030401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/U5,"Medicaid level of care 5, as defined by each state",,,FALSE,C1144898,http://purl.bioontology.org/ontology/STY/T064,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,I=Not payable by Medicare,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T064
http://purl.bioontology.org/ontology/HCPCS/UN,Two patients served,,,FALSE,C1314210,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20040101,,,C=Carrier judgment,20040101,,,,,,,,,"0114=FOR MEDICARE PURPOSES, MODIFIERS UN-US WOULD BE REPORTED WITH R0075.",,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/UH,Services provided in the evening,,,FALSE,C1314207,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030401,,,I=Not payable by Medicare,20030401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/UJ,Services provided at night,,,FALSE,C1314208,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20170101,,,C=Carrier judgment,20030401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/UB,"Medicaid level of care 11, as defined by each state",,,FALSE,C1144903,http://purl.bioontology.org/ontology/STY/T064,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,I=Not payable by Medicare,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T064
http://purl.bioontology.org/ontology/HCPCS/UP,Three patients served,,,FALSE,C1314211,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20040101,,,C=Carrier judgment,20040101,,,,,,,,,"0114=FOR MEDICARE PURPOSES, MODIFIERS UN-US WOULD BE REPORTED WITH R0075.",,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/UA,"Medicaid level of care 10, as defined by each state",,,FALSE,C1145426,http://purl.bioontology.org/ontology/STY/T064,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,I=Not payable by Medicare,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T064
http://purl.bioontology.org/ontology/HCPCS/U6,"Medicaid level of care 6, as defined by each state",,,FALSE,C1144899,http://purl.bioontology.org/ontology/STY/T064,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,I=Not payable by Medicare,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T064
http://purl.bioontology.org/ontology/HCPCS/U1,"Medicaid level of care 1, as defined by each state",,,FALSE,C1144894,http://purl.bioontology.org/ontology/STY/T064,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,I=Not payable by Medicare,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T064
http://purl.bioontology.org/ontology/HCPCS/UF,Services provided in the morning,,,FALSE,C1314205,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030401,,,I=Not payable by Medicare,20030401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/UD,"Medicaid level of care 13, as defined by each state",,,FALSE,C1144905,http://purl.bioontology.org/ontology/STY/T064,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,I=Not payable by Medicare,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T064
http://purl.bioontology.org/ontology/HCPCS/U4,"Medicaid level of care 4, as defined by each state",,,FALSE,C1144897,http://purl.bioontology.org/ontology/STY/T064,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,I=Not payable by Medicare,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T064
http://purl.bioontology.org/ontology/HCPCS/UK,Services provided on behalf of the client to someone other than the client (collateral relationship),,,FALSE,C1314209,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030401,,,I=Not payable by Medicare,20030401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/UE,Used durable medical equipment,,,FALSE,C0497701,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19840101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/UR,Five patients served,,,FALSE,C1314213,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20040101,,,C=Carrier judgment,20040101,,,,,,,,,"0114=FOR MEDICARE PURPOSES, MODIFIERS UN-US WOULD BE REPORTED WITH R0075.",,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J1570,"Injection, ganciclovir sodium, 500 mg",,,FALSE,C1321787,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19940101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9775,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel (s), when performed",,,FALSE,C5439662,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20210101,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20210101,,,A=Not applicable as HCPCS priced under one methodology,,20210101,,YY,53=Statute,,1833(T),2=Surgery|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9342,"Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem",,,FALSE,C0994222,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8865,"Documentation of medical reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient allergic reaction, potential adverse drug reaction)",,,FALSE,C3248599,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J7040,"Infusion, normal saline solution, sterile (500 ml = 1 unit)",,,FALSE,C0499046,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9228,"Injection, ipilimumab, 1 mg",,,FALSE,C3248394,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20120101,0,O1D=Chemotherapy,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,20120101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1252,Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit,,,FALSE,C5884157,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9987,"Bundled payments for care improvement advanced (bpci advanced) model home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary connections to community and other services; for use only for a bpci advanced model episode of care; may not be billed for a 30-day period covered by a transitional care management code",,,FALSE,C4746401,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20181001,0,M5D=Specialist - other,C=Carrier judgment,20181001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1342,Patients who died during the performance period,,,FALSE,C5884205,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J0741,"Injection, cabotegravir and rilpivirine, 2mg/3mg",,,FALSE,C5551179,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20211001,0,O1E=Other drugs,C=Carrier judgment,20211001,,,A=Not applicable as HCPCS priced under one methodology,,20211001,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",,,FALSE,C0500357,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E3200,"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only",,,FALSE,C5974150,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E3000-E3200,"P=Payment change (MOG, pricing indicator codes, anesthesia base units, Ambulatory Surgical Centers)",20250401,0,D1E=Other DME,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9860,Patient spent less than three days in hospice care,,,FALSE,C4316106,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L5961,"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control",,,FALSE,C2959291,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,20110101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1323,"Injection, elranatamab-bcmm, 1 mg",,,FALSE,C5883979,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240401,0,O1D=Chemotherapy,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,20240401,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K0830,"Power wheelchair, group 2 standard, seat elevator, sling/solid seat/back, patient weight capacity up to and including 300 pounds",,,FALSE,C1737757,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G4016,Neurosurgical mips specialty set,,,FALSE,C5574519,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1388,Patients with documentation of an exam performed for recurrence of melanoma,,,FALSE,C5974336,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8900-C8920,Magnetic Resonance Angiography: Trunk and Lower Extremities,,,FALSE,C4542559,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20C1000-C9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A6583,"Gradient compression wrap with adjustable straps, below knee, each",,,FALSE,C5883924,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,C=Change in long description of procedure or modifier code,20250401,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9438,"Cesarean birth classes, non-physician provider, per session",,,FALSE,C1145343,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6559,"Gradient compression stocking, full length/chap style, 18-30 mmhg, custom, each",,,FALSE,C5883901,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A7047,"Oral interface used with respiratory suction pump, each",,,FALSE,C3710266,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20140101,0,D1E=Other DME,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4616,"Tubing (oxygen), per foot",,,FALSE,C0497877,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4611-A4629,N=No maintenance for this code,20090101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19900101,60-4,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),3312,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0136,"Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes",,,FALSE,C5884005,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20240101,0,M5D=Specialist - other,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0637,"Combination sit to stand frame/table system, any size including pediatric, with seat lift feature, with or without wheels",,,FALSE,C1314303,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0621-E0642,N=No maintenance for this code,20120101,0,D1E=Other DME,M=Non-covered by Medicare,20040101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5979,"All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system",,,FALSE,C0499983,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S0512,"Daily wear specialty contact lens, per lens",,,FALSE,C0994089,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0500-S0596,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5701,"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model",,,FALSE,C0499933,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5700-L5703,N=No maintenance for this code,19940101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6239,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing",,,FALSE,C0520048,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9033,"Injection, bendamustine hydrochloride, 1 mg",,,FALSE,C5974283,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20250101,0,O1D=Chemotherapy,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,20090101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G4015,Neurology mips specialty set,,,FALSE,C5574518,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9212,"Home management of postpartum hypertension, includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with any home infusion per diem code)",,,FALSE,C0994204,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9208-S9214,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2547,"Injection, peramivir, 1 mg",,,FALSE,C4067406,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3090,"Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each",,,FALSE,C0499649,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3070-L3100,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4544,Electrode for external lower extremity nerve stimulator for restless legs syndrome,,,FALSE,C5974080,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20241001,0,D1E=Other DME,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9088,Services provided in an urgent care center (list in addition to code for service),,,FALSE,C0919219,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4291,"Lamellas xt, per square centimeter",,,FALSE,C5884259,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L5814,"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock",,,FALSE,C0499956,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19970101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9340,"Injection, thiotepa, 15 mg",,,FALSE,C0499155,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9929,"Patient with transient or reversible cause of af (e.g., pneumonia, hyperthyroidism, pregnancy, cardiac surgery)",,,FALSE,C4542759,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0557,"Advanced primary care management services for a patient with multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, which place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, provided by clinical staff and directed by a physician or other qualified health care professional who is responsible for all primary care and serves as the continuing focal point for all needed health care services, per calendar month",,,FALSE,C5974190,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,"Advanced primary care management services for a patient with multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, which place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, provided by clinical staff and directed by a physician or other qualified health care professional who is responsible for all primary care and serves as the continuing focal point for all needed health care services, per calendar month, with the following elements, as appropriate: consent; ++ inform the patient of the availability of the service; that only one practitioner can furnish and be paid for the service during a calendar month; of the right to stop the services at any time (effective at the end of the calendar month); and that cost sharing may apply. ++ document in patient's medical record that consent was obtained. initiation during a qualifying visit for new patients or patients not seen within 3 years; provide 24/7 access for urgent needs to care team/practitioner, including providing patients/caregivers with a way to contact health care professionals in the practice to discuss urgent needs regardless of the time of day or day of week; continuity of care with a designated member of the care team with whom the patient is able to schedule successive routine appointments; deliver care in alternative ways to traditional office visits to best meet the patient's needs, such as home visits and/or expanded hours; overall comprehensive care management; ++ systematic needs assessment (medical and psychosocial). ++ system-based approaches to ensure receipt of preventive services. ++ medication reconciliation, management and oversight of self-management. development, implementation, revision, and maintenance of an electronic patient-centered comprehensive care plan; ++ care plan is available timely within and outside the billing practice as appropriate to individuals involved in the beneficiary's care, can be routinely accessed and updated by care team/practitioner, and copy of care plan to patient/caregiver; coordination of care transitions between and among health care providers and settings, including referrals to other clinicians and follow-up after an emergency department visit and discharges from hospitals, skilled nursing facilities or other health care facilities as applicable; ++ ensure timely exchange of electronic health information with other practitioners and providers to support continuity of care. ++ ensure timely follow-up communication (direct contact, telephone, electronic) with the patient and/or caregiver after an emergency department visit and discharges from hospitals, skilled nursing facilities, or other health care facilities, within 7 calendar days of discharge, as clinically indicated. ongoing communication and coordinating receipt of needed services from practitioners, home- and community-based service providers, community-based social service providers, hospitals, and skilled nursing facilities (or other health care facilities), and document communication regarding the patient's psychosocial strengths and needs, functional deficits, goals, preferences, and desired outcomes, including cultural and linguistic factors, in the patient's medical record; enhanced opportunities for the beneficiary and any caregiver to communicate with the care team/practitioner regarding the beneficiary's care through the use of asynchronous non-face-to-face consultation methods other than telephone, such as secure messaging, email, internet, or patient portal, and other communication-technology based services, including remote evaluation of pre-recorded patient information and interprofessional telephone/internet/ehr referral service(s), to maintain ongoing communication with patients, as appropriate; ++ ensure access to patient-initiated digital communications that require a clinical decision, such as virtual check-ins and digital online assessment and management and e/m visits (or e-visits). analyze patient population data to identify gaps in care and offer additional interventions, as appropriate; risk stratify the practice population based on defined diagnoses, claims, or other electronic data to identify and target services to patients; be assessed through performance measurement of primary care quality, total cost of care, and meaningful use of certified ehr technology",,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0715,Intravaginal device intended to strengthen pelvic floor muscles during kegel exercises,,,FALSE,C5974125,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0710-E0716,N=No maintenance for this code,20241001,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20241001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J3360,"Injection, diazepam, up to 5 mg",,,FALSE,C0499022,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0183,"Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164)",,,FALSE,C0994066,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20150101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4183,"Surgigraft, per square centimeter",,,FALSE,C4746479,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J0714,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g",,,FALSE,C4067599,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1572,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg",,,FALSE,C1971340,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20090101,0,O1E=Other drugs,D=Special coverage instructions apply,20080101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8952,"Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given",,,FALSE,C3534758,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20220101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9593,Pediatric patient with minor blunt head trauma classified as low risk according to the pecarn prediction rules,,,FALSE,C4067519,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S2054,Transplantation of multivisceral organs,,,FALSE,C0812808,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1824,"Generator, cardiac contractility modulation (implantable)",,,FALSE,C5229000,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20230101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),F=Ambulatory surgical center (facility usage for surgical services)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5655,"Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal)",,,FALSE,C0499899,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A9291,"Prescription digital cognitive and/or behavioral therapy, fda cleared, per course of treatment",,,FALSE,C5771506,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20221001,0,Z2=Undefined codes,C=Carrier judgment,20220401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,99=Value not established,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4724,"Dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but less than or equal to 4999 cc, for peritoneal dialysis",,,FALSE,C0993693,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/H2014,"Skills training and development, per 15 minutes",,,FALSE,C1314387,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A2031,"Mirodry wound matrix, per square centimeter",,,FALSE,C5979693,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,A=Add procedure or modifier code,20250401,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A4615,"Cannula, nasal",,,FALSE,C0179574,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4611-A4629,N=No maintenance for this code,20090101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19900101,60-4,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),3312,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9988,Palliative care services provided to patient any time during the measurement period,,,FALSE,C5552823,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A7030,"Full face mask used with positive airway pressure device, each",,,FALSE,C1144985,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0174,"Thiethylperazine maleate, 10 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",,,FALSE,C0694999,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0138-Q0249,N=No maintenance for this code,19980401,0,O1D=Chemotherapy,D=Special coverage instructions apply,19980401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,4557,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S4023,"Donor egg cycle, incomplete, case rate",,,FALSE,C1145322,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4331,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each",,,FALSE,C0918306,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2207,"Wheelchair accessory, crutch and cane holder, each",,,FALSE,C1617318,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6207,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",,,FALSE,C0520032,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2302,"Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens",,,FALSE,C0500359,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9603-P9604,Travel Allowance for Specimen Collection,,,FALSE,C4542647,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20P0000-P9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2612,"General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware",,,FALSE,C1508936,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2601-E2621,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0033,"Two or more benzodiazepine prescriptions ordered for patients who had a diagnosis of seizure disorders, rapid eye movement sleep behavior disorder, benzodiazepine withdrawal, ethanol withdrawal, or severe generalized anxiety disorder on or between january 1 of the year prior to the measurement period and the ipsd for benzodiazepines",,,FALSE,C5574460,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0600-E0601,Suction Pump/Room Vaporizers,,,FALSE,C0812959,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0736,"Injection, clindamycin phosphate, 300 mg",,,FALSE,C0812791,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0596,Phakic intraocular lens for correction of refractive error,,,FALSE,C3534658,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0500-S0596,N=No maintenance for this code,20120401,0,Z2=Undefined codes,I=Not payable by Medicare,20120401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L1850,"Knee orthosis, swedish type, prefabricated, off-the-shelf",,,FALSE,C3710511,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L4394,"Replace soft interface material, foot drop splint",,,FALSE,C0520166,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4350-L4631,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19970101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7633,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 0.25 milligram",,,FALSE,C1145210,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q5105,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units",,,FALSE,C4746502,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20200101,0,O1E=Other drugs,D=Special coverage instructions apply,20180701,,,A=Not applicable as HCPCS priced under one methodology,4273.1,20180701,,YY,57=Other carrier priced,,,1=Medical care|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,Transport Services Including Ambulance,,,FALSE,C0812876,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20A0000-A9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S5190,"Wellness assessment, performed by non-physician",,,FALSE,C1314583,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1289,Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy),,,FALSE,C5849202,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0566,"3d radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy",,,FALSE,C5979723,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,A=Add procedure or modifier code,20250401,0,I4B=Imaging/procedure - other,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A9154,"Artificial saliva, 1 ml",,,FALSE,C5979706,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,A=Add procedure or modifier code,20250401,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20250401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0017,"Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); first 60 minutes",,,FALSE,C5883999,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0017-G0018,N=No maintenance for this code,20240101,0,M5D=Specialist - other,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5220,"Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each",,,FALSE,C0499834,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5200-L5230,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9877,"Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 10-12 under the mdpp expanded model (em). a core maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 7 through 12 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary did not achieve at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 10-12",,,FALSE,C4746390,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180401,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20180401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A9585,"Injection, gadobutrol, 0.1 ml",,,FALSE,C3248386,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20120101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4405,"Ostomy skin barrier, non-pectin based, paste, per ounce",,,FALSE,C1144915,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",,,FALSE,C1737756,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H0046,"Mental health services, not otherwise specified",,,FALSE,C0025355,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4135,"Mediskin, per square centimeter",,,FALSE,C3534663,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20130101,0,O1E=Other drugs,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A4650,"Implantable radiation dosimeter, each",,,FALSE,C1971388,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4648-A4652,N=No maintenance for this code,20080101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0976,"Lso, full corset",,,FALSE,C0499449,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0970-L0999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4635,"Underarm pad, crutch, replacement, each",,,FALSE,C0497889,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4630-A4640,N=No maintenance for this code,19910101,0,D1E=Other DME,D=Special coverage instructions apply,19910101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2320,Trifocal add over 3.25d,,,FALSE,C0500377,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1240,Patient did not respond to the question of patient felt this provider and team put my best interests first when making recommendations about my care,,,FALSE,C5884145,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,Solutions and Drugs (CMS Temporary Codes),,,FALSE,C3534887,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/L5699,"All lower extremity prostheses, shoulder harness",,,FALSE,C0499931,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4541,Monthly supplies for use of device coded at e0733,,,FALSE,C5883881,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20240101,0,D1E=Other DME,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9300,"Injection, indigotindisulfonate sodium, 1 mg",,,FALSE,C5979710,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,D=Special coverage instructions apply,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1129,"Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery",,,FALSE,C5203752,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/H2016,"Comprehensive community support services, per diem",,,FALSE,C1314389,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0077,"Limited (30 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)",,,FALSE,C4746308,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0068-G0090,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J3398,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes",,,FALSE,C4746412,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1304,"Injection, tofersen, 1 mg",,,FALSE,C5884046,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q0521,Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription,,,FALSE,C5974381,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0516-Q0521,N=No maintenance for this code,20250101,0,O1E=Other drugs,D=Special coverage instructions apply,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,1861(ddd),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/G0511,"Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month",,,FALSE,C4542704,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0511-G0512,N=No maintenance for this code,20180101,0,M5D=Specialist - other,D=Special coverage instructions apply,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",0214=SERVICES FOR RURAL HEALTH CLINIC OR FEDERALLY QUALIFIED HEALTH CENTER (RHC/FQHC) ONLY.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E1592,Automatic intermittent peritoneal dialysis system,,,FALSE,C2092375,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0188,Synthetic sheepskin pad,,,FALSE,C0498386,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0181-E0199,N=No maintenance for this code,20010101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,4107.6,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1783,"Ocular implant, aqueous drainage assist device",,,FALSE,C1145018,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20020701,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20020701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4606,"Oxygen probe for use with oximeter device, replacement",,,FALSE,C1144946,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1720,"Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated",,,FALSE,C0499496,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1700-L1755,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6524,"Gradient compression garment, lower leg and foot, padded, for nighttime use, each",,,FALSE,C5883887,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2115,Patients 66 - 80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period,,,FALSE,C5203683,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,Injection,,,FALSE,C1272883,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J0100-J8999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E0856,"Cervical traction device, with inflatable air bladder(s)",,,FALSE,C1971041,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,20150101,0,D1E=Other DME,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9322,"Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg",,,FALSE,C5884103,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240701,0,O1D=Chemotherapy,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20240701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1762,"Connective tissue, human (includes fascia lata)",,,FALSE,C0993753,http://purl.bioontology.org/ontology/STY/T024,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T024
http://purl.bioontology.org/ontology/HCPCS/H0043,"Supported housing, per diem",,,FALSE,C1145176,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A7038,"Filter, disposable, used with positive airway pressure device",,,FALSE,C0499318,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,Compression Garments,,,FALSE,C1283059,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0536,"Peer recovery support services, provided directly or by referral; including leveraging knowledge of the condition or lived experience to provide support, mentorship, or inspiration to meet oud treatment and recovery goals; conducting a person-centered interview to understand the patient's life story, strengths, needs, goals, preferences, and desired outcomes; developing and proposing strategies to help meet person-centered treatment goals; assisting the patient in locating or navigating recovery support services; each additional 30 minutes of services (provision of the services by a medicare-enrolled opioid treatment program); (list separately in addition to each primary code)",,,FALSE,C5974169,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/P9037,"Platelets, pheresis, leukocytes reduced, irradiated, each unit",,,FALSE,C0919117,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20010101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2455,,,,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/Q4251,"Vim, per square centimeter",,,FALSE,C5574636,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20211001,0,O1E=Other drugs,C=Carrier judgment,20211001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L1110,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model",,,FALSE,C0499467,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1000-L1120,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2787,Astigmatism correcting function of intraocular lens,,,FALSE,C1971385,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20080101,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862(a)(7),Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L0643,"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf",,,FALSE,C3710491,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0643-L0651,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0220,Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 30 minutes,,,FALSE,C0919164,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0499,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result",,,FALSE,C4316270,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0499-G0499,N=No maintenance for this code,20180401,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,20160928,,220=General immunology|140=Virology,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/J1443,"Injection, ferric pyrophosphate citrate solution (triferic), 0.1 mg of iron",,,FALSE,C4067601,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20211001,0,O1E=Other drugs,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9702,Patients who use hospice services any time during the measurement period,,,FALSE,C4283832,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A6600,"Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each",,,FALSE,C5883940,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6593-A6611,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4725,"Dialysate solution, any concentration of dextrose, fluid volume greater than 4999 cc but less than or equal to 5999 cc, for peritoneal dialysis",,,FALSE,C0993694,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2513,"Injection, pentastarch, 10% solution, 100 ml",,,FALSE,C1618889,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20060101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,0095=AS REQUIRED BY BBRA SECTION 201.,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9483,"Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a detailed history; a detailed examination; medical decision making of low complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate severity. typically, 30 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology",,,FALSE,C4316256,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20160401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0206=THIS SERVICE IS PART OF A DEMONSTRATION PROJECT.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G8543,"Documentation of a positive functional outcome assessment using a standardized tool; care plan not documented within two days of assessment, reason not given",,,FALSE,C2368477,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5D=Specialist - other,C=Carrier judgment,20090101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1117,"Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care",,,FALSE,C5203714,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L2830,"Addition to lower extremity orthosis, soft interface for molded plastic, above knee section",,,FALSE,C0499633,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2750-L2999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9875,Nine total medicare diabetes prevention program (mdpp) core sessions were attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an mdpp supplier during months 1 through 6 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for core sessions,,,FALSE,C4746388,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180401,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20180401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0291,"Hospital bed, fixed height, without side rails, without mattress",,,FALSE,C0498426,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19910101,0,D1B=Hospital beds,D=Special coverage instructions apply,19910101,60-18,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",,,FALSE,C0497815,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,19900101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0340,"Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage",,,FALSE,C0994079,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2600,"Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each",,,FALSE,C0499610,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2570-L2680,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5430,"Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment",,,FALSE,C0499847,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5400-L5460,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7683,"Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram",,,FALSE,C0520215,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",,,FALSE,C0499325,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,19930101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19930101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2730,"Injection, pralidoxime chloride, up to 1 gm",,,FALSE,C0498977,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2623,"Prosthetic eye, plastic, custom",,,FALSE,C0500400,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2623-V2629,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,2133,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0451,"Development testing, with interpretation and report, per standardized instrument form",,,FALSE,C3248422,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0438-G0451,N=No maintenance for this code,20120101,0,M5D=Specialist - other,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1317,Patients who are counseled on connection with a csp and explicitly opt out,,,FALSE,C5884182,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/P9033,"Platelets, leukocytes reduced, irradiated, each unit",,,FALSE,C0919113,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20010101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2455,,,,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/V2503,"Contact lens, pmma, color vision deficiency, per lens",,,FALSE,C0500385,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2500-V2599,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0746,"Electromyography (emg), biofeedback device",,,FALSE,C0498504,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19890101,35-27,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S3870,"Comparative genomic hybridization (cgh) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability",,,FALSE,C2729380,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S3800-S3870,N=No maintenance for this code,20140101,0,Z2=Undefined codes,I=Not payable by Medicare,20090401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A4100,"Skin substitute, fda cleared as a device, not otherwise specified",,,FALSE,C5771502,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20220401,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20220401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J1301,"Injection, edaravone, 1 mg",,,FALSE,C4522197,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L0984,"Protective body sock, prefabricated, off-the-shelf, each",,,FALSE,C3710498,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0970-L0999,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9435,Medical foods for inborn errors of metabolism,,,FALSE,C0919232,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/L2010,"Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated",,,FALSE,C0499534,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2000-L2038,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q9954,"Oral magnetic resonance contrast agent, per 100 ml",,,FALSE,C1618390,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9950-Q9969,N=No maintenance for this code,20050401,0,I1F=Standard imaging - other,D=Special coverage instructions apply,20050401,,,A=Not applicable as HCPCS priced under one methodology,15022,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/J7521,"Tacrolimus, granules, oral suspension, 0.1 mg",,,FALSE,C5979736,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,D=Special coverage instructions apply,20250401,,,A=Not applicable as HCPCS priced under one methodology,2049.5,,,,51=Drugs,,,1=Medical care|G=Immunosuppressive drugs,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2186,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg)",,,FALSE,C4746408,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A2001,"Innovamatrix ac, per square centimeter",,,FALSE,C5574421,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20220101,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20220101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9304,"Injection, marstacimab-hncq, 0.5 mg",,,FALSE,C5979714,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,D=Special coverage instructions apply,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0967,"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each",,,FALSE,C0498547,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/L7406,"Addition to upper extremity, user adjustable, mechanical, residual limb volume management system",,,FALSE,C5979755,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7400-L7406,A=Add procedure or modifier code,20250401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0678,"Non-pneumatic sequential compression garment, full leg",,,FALSE,C5771654,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0678-E0683,N=No maintenance for this code,20240101,0,D1E=Other DME,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9279,"Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified",,,FALSE,C1740779,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20150101,0,T2D=Other tests - other,S=Non-covered by Medicare statute,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8843,"Documentation of reason(s) for not measuring an apnea hypopnea index (ahi), a respiratory disturbance index (rdi), or a respiratory event index (rei) within 2 months after initial evaluation for suspected obstructive sleep apnea (e.g., medical, neurological, or psychiatric disease that prohibits successful completion of a sleep study, patients for whom a sleep study would present a bigger risk than benefit or would pose an undue burden, dementia, patients previously diagnosed with osa and severity assessed by another provider, patients who decline ahi/rdi/rei measurement, patients who had a financial reason for not completing testing, test was ordered but not completed, patients decline because their insurance (payer) does not cover the expense)",,,FALSE,C5974198,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20250101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V2627,Scleral cover shell,,,FALSE,C0500404,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2623-V2629,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19930101,65-3,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L1832,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710504,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1788,"Port, indwelling (implantable)",,,FALSE,C0993773,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9254,Documentation of patient discharged to home later than post-operative day 2 following cea or cas,,,FALSE,C3710358,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20250101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/T2011,"Preadmission screening and resident review (pasrr) level ii evaluation, per evaluation",,,FALSE,C1314611,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0113=THE BASIS FOR THE PASRR LEVEL II SCREEN IS IN STATUTE AT SECTION 1919(b)(3)(F) AND SECTION 1919(e)(7) OF THE SOCIAL SECURITY ACT.,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0496,"Skilled services of a licensed practical nurse (lpn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes",,,FALSE,C4316272,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0493-G0496,N=No maintenance for this code,20170101,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4327,"Female external urinary collection device; meatal cup, each",,,FALSE,C0497823,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,19900101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0630,"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710485,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0628-L0640,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0235,"Pet imaging, any site, not otherwise specified",,,FALSE,C1616864,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20210101,0,T2D=Other tests - other,M=Non-covered by Medicare,20060101,50-36,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,20210101,,YY,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9359,"Home infusion therapy, anti-tumor necrosis factor intravenous therapy; (e.g., infliximab); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994233,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C9765,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed",,,FALSE,C5439652,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20200701,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20200701,,YY,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q9968,"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",,,FALSE,C2729373,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9950-Q9969,N=No maintenance for this code,20140101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,20150101,,YY,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0180,"Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care",,,FALSE,C0919007,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20200301,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20001001,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,0100=SERVICE REPRESENTED BY G0180 PERTAINS TO SSA 1814(A)(2)(C) AND 1835(A)(2)(A).,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9598,Aortic aneurysm 5.5 - 5.9 cm maximum diameter on centerline formatted ct or minor diameter on axial formatted ct,,,FALSE,C4067523,http://purl.bioontology.org/ontology/STY/T034,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T034
http://purl.bioontology.org/ontology/HCPCS/J9301,"Injection, obinutuzumab, 10 mg",,,FALSE,C3871244,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20150101,0,O1D=Chemotherapy,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,20150101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9755,"Documentation of medical reason(s) for not including a recommended interval and modality for follow-up or for no follow-up, and source of recommendations (e.g., patients with unexplained fever, immunocompromised patients who are at risk for infection)",,,FALSE,C4746379,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9692,Hospice services received by patient any time during the measurement period,,,FALSE,C5551269,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9394,"Patient who had a diagnosis of bipolar disorder or personality disorder, death, permanent nursing home resident or receiving hospice or palliative care any time during the measurement or assessment period",,,FALSE,C3871304,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J9299,"Injection, nivolumab, 1 mg",,,FALSE,C4067408,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20160101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,51=Drugs,"0127=PUBLICATION 100.2, CHAPTER 15, 50.1.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1305,Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period,,,FALSE,C5849205,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q2026,"Injection, radiesse, 0.1 ml",,,FALSE,C2959296,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,N=No maintenance for this code,20200101,0,O1E=Other drugs,D=Special coverage instructions apply,20100701,,,A=Not applicable as HCPCS priced under one methodology,,20200101,,YY,51=Drugs,"0166=CR6953 RELEASED 6/4/2010, NCD 250.5 (PUB 100-03) AND CPM 32.260 PUB (100-04).",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5213,"Hearing aid, contralateral routing system, binaural, ite/bte",,,FALSE,C4746517,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20190101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2138,Back pain as measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was less than or equal to 3.0 or back pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated an improvement of 5.0 points or greater,,,FALSE,C5229100,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0143,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under physician supervision",,,FALSE,C0694943,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,19990101,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,19990101,,630=Cytology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,"0045=SEE INTERMEDIARY MANUAL 3628.1A FOR PAYMENT INSTRUCTIONS. (P3000,P3001 G0123, G0124, G0141, G0143, G0144, G0145, G0147, G0148). PROGRAM MEMORANDUM AB-98-71.60.",,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/Q9963,"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",,,FALSE,C1617876,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9950-Q9969,N=No maintenance for this code,20050701,0,I1E=Standard imaging - nuclear medicine,D=Special coverage instructions apply,20050701,,,A=Not applicable as HCPCS priced under one methodology,15022,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/L6648,"Upper extremity addition, shoulder lock mechanism, external powered actuator",,,FALSE,C1145291,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5230,"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot",,,FALSE,C0499835,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5200-L5230,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S2065,Simultaneous pancreas kidney transplantation,,,FALSE,C0994103,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3995,"Addition to upper extremity orthosis, sock, fracture or equal, each",,,FALSE,C0499797,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3980-L3999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9744,Patient not eligible due to active diagnosis of hypertension,,,FALSE,C4316202,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L5638,"Addition to lower extremity, below knee, leather socket",,,FALSE,C0499883,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9200,"Injection, floxuridine, 500 mg",,,FALSE,C0499131,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0181-E0199,Decubitis Care Equipment,,,FALSE,C0812953,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1186,Patients who have an order for or are receiving hospice or palliative care,,,FALSE,C5771692,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C9757,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implantation of bone anchored annular closure device, including annular defect measurement, alignment and sizing assessment, and image guidance; 1 interspace, lumbar",,,FALSE,C5229020,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20240101,0,P6B=Minor procedures - musculoskeletal,D=Special coverage instructions apply,20200101,,,A=Not applicable as HCPCS priced under one methodology,,20200101,,YY,53=Statute,,1833(T),1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4327,"Duoamnion, per square centimeter",,,FALSE,C5974404,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A4556,"Electrodes, (e.g., apnea monitor), per pair",,,FALSE,C0013812,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20000101,0,D1E=Other DME,C=Carrier judgment,19840101,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/Q4133,"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter",,,FALSE,C4746477,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E0657,"Segmental pneumatic appliance for use with pneumatic compressor, chest",,,FALSE,C2368677,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0650-E0677,N=No maintenance for this code,20140401,0,D1E=Other DME,D=Special coverage instructions apply,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2940,"Injection, somatrem, 1 mg",,,FALSE,C0993946,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20020101,0,O1E=Other drugs,D=Special coverage instructions apply,20020101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,1861s2b,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4929,"Tourniquet for dialysis, each",,,FALSE,C0993707,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0138,"Intravenous infusion of cipaglucosidase alfa-atga, including provider/supplier acquisition and clinical supervision of oral administration of miglustat in preparation of receipt of cipaglucosidase alfa-atga",,,FALSE,C5974151,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20240401,0,M1B=Office visits - established,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3000-L3031,Orthopedic Shoe Inserts,,,FALSE,C5228967,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3000-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5647,"Addition to lower extremity, below knee suction socket",,,FALSE,C0499891,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J3392,"Injection, exagamglogene autotemcel, per treatment",,,FALSE,C5974269,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q0180,"Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 hour dosage regimen",,,FALSE,C0695005,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0138-Q0249,N=No maintenance for this code,19980401,0,O1D=Chemotherapy,D=Special coverage instructions apply,19980401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,4557,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9552,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries",,,FALSE,C1619357,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/S9446,"Patient education, not otherwise classified, non-physician provider, group, per session",,,FALSE,C0994254,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C9143,"Cocaine hydrochloride nasal solution (numbrino), 1 mg",,,FALSE,C5771573,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20230101,0,O1E=Other drugs,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),F=Ambulatory surgical center (facility usage for surgical services)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L1005,"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment",,,FALSE,C0993971,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1000-L1120,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0869,"Power wheelchair, group 4 standard, captains chair, patient weight capacity up to and including 300 pounds",,,FALSE,C1739993,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4357,"Xwrap plus, per square centimeter",,,FALSE,C5979760,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/T4528,"Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each",,,FALSE,C1509110,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20050101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J3032,"Injection, eptinezumab-jjmr, 1 mg",,,FALSE,C5434208,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20201001,0,O1E=Other drugs,C=Carrier judgment,20201001,,,A=Not applicable as HCPCS priced under one methodology,,20201001,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0917,Patient care survey was not completed by patient,,,FALSE,C3248432,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0913-G0918,N=No maintenance for this code,20230101,0,M5D=Specialist - other,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0659,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem), excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase), performed without method or drug-specific calibration, without matrix-matched quality control material, or without use of stable isotope or other universally recognized internal standard(s) for each drug, drug metabolite or drug class per specimen; qualitative or quantitative, all sources, includes specimen validity testing, per day, any number of drug classes",,,FALSE,C4542711,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0659-G0659,N=No maintenance for this code,20170101,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,20170101,,340=Toxicology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/L0625,"Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf",,,FALSE,C1618892,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0625-L0627,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0592,Comprehensive contact lens evaluation,,,FALSE,C0994096,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0500-S0596,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0352,"Disposable pack (water reservoir bag, speculum, valving mechanism and collection bag/box) for use with the electronic bowel irrigation/evacuation system",,,FALSE,C0498439,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19950101,0,Z2=Undefined codes,C=Carrier judgment,19950101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",,,FALSE,C0500318,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2100-V2199,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q2049,"Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg",,,FALSE,C3534668,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,N=No maintenance for this code,20120701,0,O1D=Chemotherapy,C=Carrier judgment,20120701,,,A=Not applicable as HCPCS priced under one methodology,,20120701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0080,"Extensive (75 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)",,,FALSE,C4746311,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0068-G0090,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G8923,Current or prior left ventricular ejection fraction (lvef) <= 40% or documentation of moderately or severely depressed left ventricular systolic function,,,FALSE,C3248480,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20250101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C9254,"Injection, lacosamide, 1 mg",,,FALSE,C2729464,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20100101,0,O1E=Other drugs,D=Special coverage instructions apply,20100101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,621MMA,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G4038,Vascular surgery mips specialty set,,,FALSE,C5574541,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J8530,"Cyclophosphamide; oral, 25 mg",,,FALSE,C0520152,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,N=No maintenance for this code,19970831,0,O1D=Chemotherapy,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics|G=Immunosuppressive drugs",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J8999,"Prescription drug, oral, chemotherapeutic, nos",,,FALSE,C0520154,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,N=No maintenance for this code,19970101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/V5253,"Hearing aid, digitally programmable, binaural, bte",,,FALSE,C0994302,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0545,"Visit complexity inherent to hospital inpatient or observation care associated with a confirmed or suspected infectious disease by an infectious diseases specialist, including disease transmission risk assessment and mitigation, public health investigation, analysis, and testing, and complex antimicrobial therapy counseling and treatment (add-on code, list separately in addition to hospital inpatient or observation evaluation and management visit, initial, same day discharge, subsequent or discharge)",,,FALSE,C5974178,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L7170,"Electronic elbow, hosmer or equal, switch controlled",,,FALSE,C0500130,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7170-L7191,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9198,"Injection, gemcitabine hydrochloride, (infugem), 100 mg",,,FALSE,C5439753,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20210101,0,O1D=Chemotherapy,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20210101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/T2034,"Crisis intervention, waiver; per diem",,,FALSE,C1314634,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V2510,"Contact lens, gas permeable, spherical, per lens",,,FALSE,C0500386,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2500-V2599,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A5055,Stoma cap,,,FALSE,C0497942,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5051-A5093,N=No maintenance for this code,19900101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0322,"The collection of physiologic data digitally stored and/or transmitted by the patient to the home health agency (i.e., remote patient monitoring)",,,FALSE,C5771591,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C7555,"Thyroidectomy, total or complete with parathyroid autotransplantation",,,FALSE,C5771568,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20250101,0,P1G=Major procedure - other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,11=Price established using national RVU's,,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G6003,"Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: up to 5 mev",,,FALSE,C0373367,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G6003-G6017,N=No maintenance for this code,20150101,0,P7A=Oncology - radiation therapy,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0011,"Individual counseling for pre-exposure prophylaxis (prep) by physician or qualified health care professional (qhp) to prevent human immunodeficiency virus (hiv), includes hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence, 15-30 minutes",,,FALSE,C5883996,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0008-G0013,N=No maintenance for this code,20240102,0,P5E=Ambulatory procedures - other,C=Carrier judgment,20240102,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8690-L9900,Prosthetic Implants - Miscellaneous Orthotic or Prosthetic Component or Accessory,,,FALSE,C4316304,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L8500-L9900,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0151,"Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes",,,FALSE,C0812712,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20110101,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,19990701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0082=G0151-G0156 MAY BE BILLED ONLY FOR HOME HEALTH CARE SERVICES PROVIDED UNDER A PLAN OF CARE. SEE CR#588.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9781,"Documentation of medical reason(s) for not currently being a statin therapy user or receiving an order (prescription) for statin therapy (e.g., patients with statin-associated muscle symptoms or an allergy to statin medication therapy, patients who are receiving palliative or hospice care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease [esrd], or other medical reasons)",,,FALSE,C4316172,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3470,"Heel, thomas extended to ball",,,FALSE,C0499708,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3430-L3485,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9597,Pediatric patient with minor blunt head trauma not classified as low risk according to the pecarn prediction rules,,,FALSE,C4067522,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",,,FALSE,C0919089,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20060101,0,D1E=Other DME,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P9020,"Platelet rich plasma, each unit",,,FALSE,C0500248,http://purl.bioontology.org/ontology/STY/T031,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20010101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,19870101,,,A=Not applicable as HCPCS priced under one methodology,2455 B,,,,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T031
http://purl.bioontology.org/ontology/HCPCS/J7629,"Bitolterol mesylate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram",,,FALSE,C0520199,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1552,"Injection, immune globulin (alyglo), 500 mg",,,FALSE,C5974244,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0840,"Traction frame, attached to headboard, cervical traction",,,FALSE,C0498517,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,19940101,0,D1E=Other DME,D=Special coverage instructions apply,19840101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0841,"Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds",,,FALSE,C1737758,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3253,"Foot, molded shoe plastazote (or similar) custom fitted, each",,,FALSE,C0499681,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C7512,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic guidance when performed",,,FALSE,C5771526,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P8F=Endoscopy - bronchoscopy,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/M1293,Bmi is documented above normal parameters and a follow-up plan is documented,,,FALSE,C5849216,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20K0000-K9999,Temporary Codes Assigned to DME Regional Carriers,,,FALSE,C2729347,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/MTHU000323,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/G0397,"Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes",,,FALSE,C1971049,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0396-G0397,N=No maintenance for this code,20201001,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J3243,"Injection, tigecycline, 1 mg",,,FALSE,C1738019,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20220101,0,O1E=Other drugs,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1290,"Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest",,,FALSE,C0498621,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1280-E1298,N=No maintenance for this code,20010401,0,D1D=Wheelchairs,I=Not payable by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,K0006,,http://purl.bioontology.org/ontology/HCPCS/K0006,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A5073,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each",,,FALSE,C0497950,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5051-A5093,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5610,"Addition to lower extremity, endoskeletal system, above knee, hydracadence system",,,FALSE,C0499864,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5610-L5617,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4362,"Cygnus disk, per square centimeter",,,FALSE,C5979765,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Q4270,"Complete sl, per square centimeter",,,FALSE,C5884238,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230401,0,O1E=Other drugs,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J8611,"Methotrexate (jylamvo), oral, 2.5 mg",,,FALSE,C5974280,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,N=No maintenance for this code,20240701,0,O1D=Chemotherapy,D=Special coverage instructions apply,20240701,,,A=Not applicable as HCPCS priced under one methodology,2049.5,20240701,,YY,51=Drugs,,,"G=Immunosuppressive drugs|1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9284,Non small cell lung cancer biopsy and cytology specimen report does not document classification into specific histologic type or classified as nsclc-nos with an explanation,,,FALSE,C3710387,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A6503,"Compression burn garment, facial hood, custom fabricated",,,FALSE,C1144973,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9476,"Vestibular rehabilitation program, non-physician provider, per diem",,,FALSE,C1314605,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L0462,"Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment",,,FALSE,C1145258,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1244,"Patient provided a response other than ""completely true"" for the question of patient felt this provider and team put my best interests first when making recommendations about my care",,,FALSE,C5884149,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E1297,"Special wheelchair seat depth, by upholstery",,,FALSE,C0498624,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1280-E1298,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-6,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9426,Improvement in median time from ed arrival to initial ed oral or parenteral pain medication administration performed for ed admitted patients,,,FALSE,C3871328,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G2204,Patients between 45 and 85 years of age who received a screening colonoscopy during the performance period,,,FALSE,C5771594,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A8000,"Helmet, protective, soft, prefabricated, includes all components and accessories",,,FALSE,C1737201,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A8000-A8004,N=No maintenance for this code,20070101,0,D1E=Other DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0100-E0105,Canes,,,FALSE,C0006856,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2799,"Vision item or service, miscellaneous",,,FALSE,C3871406,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20150101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1362,Patients who died during the measurement period,,,FALSE,C5849207,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0605-E0606,Other Breathing Aids,,,FALSE,C4542571,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9257,"Injection, bevacizumab, 0.25 mg",,,FALSE,C2729368,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20100101,0,O1E=Other drugs,D=Special coverage instructions apply,20100101,,,A=Not applicable as HCPCS priced under one methodology,,20100101,,YY,53=Statute,,1833(t),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9173,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram",,,FALSE,C5974111,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20250101,0,O1E=Other drugs,D=Special coverage instructions apply,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,53=Statute,,1833(t),1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9485,"Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 60 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology",,,FALSE,C4316254,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20160401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0206=THIS SERVICE IS PART OF A DEMONSTRATION PROJECT.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0620,"Skin piercing device for collection of capillary blood, laser, each",,,FALSE,C0994329,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0607-E0620,N=No maintenance for this code,20140401,0,D1E=Other DME,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J3263,"Injection, toripalimab-tpzi, 1 mg",,,FALSE,C5974267,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1D=Chemotherapy,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,20240701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1105,"Dexmedetomidine, oral, 1 mcg",,,FALSE,C5884044,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,I=Not payable by Medicare,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4422,"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each",,,FALSE,C1144924,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1883,"Adapter/extension, pacing lead or neurostimulator lead (implantable)",,,FALSE,C0993787,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20010401,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9728,Patient refused to participate,,,FALSE,C4284598,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0104,Colorectal cancer screening; flexible sigmoidoscopy,,,FALSE,C0520123,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0101-G0106,N=No maintenance for this code,19980101,0,P8C=Endoscopy - sigmoidoscopy,D=Special coverage instructions apply,19980101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,11=Price established using national RVU's,"0064=COVERAGE AND PAYMENT BASED ON BALANCED BUDGET ACT OF 1997 (G0101 - SEC 4102; G0104, G0105, G0106, G0107, G0120, G0121, G0122, G0128 - SEC 4104).",,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A9610,"Xenon xe-129 hyperpolarized gas, diagnostic, per study dose",,,FALSE,C5883972,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20241001,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/J7353,"Anacaulase-bcdb, 8.8% gel, 1 gram",,,FALSE,C5884084,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7330-J7402,N=No maintenance for this code,20231001,0,O1E=Other drugs,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1206,Itch severity assessment score was not reduced by at least 3 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-up encounter,,,FALSE,C5849221,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E1029,"Wheelchair accessory, ventilator tray, fixed",,,FALSE,C1314328,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S5131,"Homemaker service, nos; per diem",,,FALSE,C1314565,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2608,"Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth",,,FALSE,C1508932,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2601-E2621,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4283,"Cap for breast pump bottle, replacement",,,FALSE,C1144911,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20070101,0,Z2=Undefined codes,C=Carrier judgment,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q9991,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg",,,FALSE,C4746508,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9982-Q9999,N=No maintenance for this code,20180701,0,O1E=Other drugs,C=Carrier judgment,20180701,,,A=Not applicable as HCPCS priced under one methodology,,20180701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A0170,"Transportation ancillary: parking fees, tolls, other",,,FALSE,C0497722,http://purl.bioontology.org/ontology/STY/T057,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20030101,0,O1A=Ambulance,I=Not payable by Medicare,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T057
http://purl.bioontology.org/ontology/HCPCS/E0721,Transcutaneous electrical nerve stimulator for nerves in the auricular region,,,FALSE,C5974127,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20241001,0,D1E=Other DME,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1729,"Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg",,,FALSE,C4542792,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20200101,0,O1E=Other drugs,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,20200101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4202,"Keroxx (2.5g/cc), 1cc",,,FALSE,C4746496,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/C8932,"Magnetic resonance angiography without contrast, spinal canal and contents",,,FALSE,C2958896,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8931-C8937,N=No maintenance for this code,20101001,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20101001,,,A=Not applicable as HCPCS priced under one methodology,,20101001,,YY,53=Statute,,1833(t),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/J3371,"Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg",,,FALSE,C5771635,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,D=Special coverage instructions apply,20230101,60-14,,A=Not applicable as HCPCS priced under one methodology,2049,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0628-L0640,Lumbar-Sacral Orthotics,,,FALSE,C4542623,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L0100-L4999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2108,"Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens",,,FALSE,C0500323,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2100-V2199,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G2150,Multimodal pain management was not used,,,FALSE,C5229112,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J2430,"Injection, pamidronate disodium, per 30 mg",,,FALSE,C0498949,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6000,Non-contact wound warming wound cover for use with the non-contact wound warming device and warming card,,,FALSE,C0993711,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20020701,0,D1E=Other DME,M=Non-covered by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2303,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1030,"Wheelchair accessory, ventilator tray, gimbaled",,,FALSE,C1314329,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9573,"Injection, gadopiclenol, 1 ml",,,FALSE,C5883956,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20231001,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/M1196,"Initial (index visit) numeric rating scale (nrs), visual rating scale (vrs), or itchyquant assessment score of greater than or equal to 4",,,FALSE,C5703339,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3961,"Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",,,FALSE,C1621014,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3960-L3973,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8817,"Statin therapy not prescribed at discharge, reason not given",,,FALSE,C3248553,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0913,Improvement in visual function achieved within 90 days following cataract surgery,,,FALSE,C3248428,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0913-G0918,N=No maintenance for this code,20120101,0,M5D=Specialist - other,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S5522,"Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included)",,,FALSE,C0994160,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5497-S5523,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S0023,"Injection, cimetidine hydrochloride, 300 mg",,,FALSE,C0812778,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9758,Patient in hospice at any time during the measurement period,,,FALSE,C4542719,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1356,Patients who died during the measurement period,,,FALSE,C5849208,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A6262,"Wound filler, dry form, per gram, not otherwise specified",,,FALSE,C0520070,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20110101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2359,"Injection, olanzapine, 0.5 mg",,,FALSE,C5884281,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6512,"Compression burn garment, not otherwise classified",,,FALSE,C1144982,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0491,"Emergency power source for use with electric/pneumatic ventricular assist device, replacement only",,,FALSE,C1619405,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0425-G0427,Initial Telehealth Consultation,,,FALSE,C4542588,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S0500,"Disposable contact lens, per lens",,,FALSE,C0994084,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0500-S0596,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0668,"Segmental pneumatic appliance for use with pneumatic compressor, full arm",,,FALSE,C0498491,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0650-E0677,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19880101,60-16,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0533,"Medication assisted treatment, buprenorphine (injectable) administered on a weekly basis; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)",,,FALSE,C5974166,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1034,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type",,,FALSE,C5979720,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1031-E1039,A=Add procedure or modifier code,20250401,0,D1D=Wheelchairs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6410,"Eye pad, sterile, each",,,FALSE,C1572248,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/STY/T171,Language,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T077,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T170,Intellectual Product,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T077,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/HCPCS/ER,"Items and services furnished by a provider-based, off-campus emergency department",,,FALSE,C4746270,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20190101,,,C=Carrier judgment,20190101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E2,"Lower left, eyelid",,,FALSE,C0229260,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/EY,No physician or other licensed health care provider order for this item or service,,,FALSE,C1144848,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,C=Carrier judgment,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E1,"Upper left, eyelid",,,FALSE,C0229257,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/E4,"Lower right, eyelid",,,FALSE,C0229259,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/E3,"Upper right, eyelid",,,FALSE,C0229256,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/ED,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,,,FALSE,C1971577,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20080101,,,D=Special coverage instructions apply,20080101,,,,,,,,,"0145=MEDICARE CLAIMS PROCESSING MANUAL PUB 100-4, CHAPTER 8, SECTION 60.4.",,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/EB,Erythropoietic stimulating agent (esa) administered to treat anemia due to anti-cancer radiotherapy,,,FALSE,C1971575,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20080101,,,D=Special coverage instructions apply,20080101,,,,,,,,,"0147=CLAIMS PROCESSING MANUAL PUB 100-04, CHAPTER 17, SECTION 80.9.",,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/EJ,"Subsequent claims for a defined course of therapy, e.g., epo, sodium hyaluronate, infliximab",,,FALSE,C0497607,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20000101,,,D=Special coverage instructions apply,19910101,,,,4273.2,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/EA,Erythropoietic stimulating agent (esa) administered to treat anemia due to anti-cancer chemotherapy,,,FALSE,C1971574,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20080101,,,D=Special coverage instructions apply,20080101,,,,,,,,,"0147=CLAIMS PROCESSING MANUAL PUB 100-04, CHAPTER 17, SECTION 80.9.",,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/EP,Service provided as part of medicaid early periodic screening diagnosis and treatment (epsdt) program,,,FALSE,C0497609,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19870101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/ET,Emergency services,,,FALSE,C0013961,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020101,,,C=Carrier judgment,19840101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/EM,Emergency reserve supply (for esrd benefit only),,,FALSE,C0497608,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,D=Special coverage instructions apply,19910101,,,,3045.7,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/EC,Erythropoietic stimulating agent (esa) administered to treat anemia not due to anti-cancer radiotherapy or anti-cancer chemotherapy,,,FALSE,C1971576,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20080101,,,D=Special coverage instructions apply,20080101,,,,,,,,,"0147=CLAIMS PROCESSING MANUAL PUB 100-04, CHAPTER 17, SECTION 80.9.",,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/EE,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,,,FALSE,C1971578,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20080101,,,D=Special coverage instructions apply,20080101,,,,,,,,,"0145=MEDICARE CLAIMS PROCESSING MANUAL PUB 100-4, CHAPTER 8, SECTION 60.4.",,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/EX,Expatriate beneficiary,,,FALSE,C4067391,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20150401,,,C=Carrier judgment,20150401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/J0702,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg",,,FALSE,C0498799,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20080101,0,O1E=Other drugs,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0740,"Non-implanted pelvic floor electrical stimulator, complete system",,,FALSE,C0498501,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20170101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60.24,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9212,Dsm-ivtm criteria for major depressive disorder documented at the initial evaluation,,,FALSE,C3710316,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3208,"Surgical boot, each, infant",,,FALSE,C0499661,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2079,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9726,Patient refused to participate,,,FALSE,C4284598,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L1930,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment",,,FALSE,C0499525,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1900-L1990,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7676,"Pentamidine isethionate, inhalation solution, compounded product, administered through dme, unit dose form, per 300 mg",,,FALSE,C1971358,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20080101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9489,"Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved coms innovation center demonstration project, which requires at least 2 of the following 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 40 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology",,,FALSE,C4316250,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20160401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0206=THIS SERVICE IS PART OF A DEMONSTRATION PROJECT.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L1001,"Cervical thoracic lumbar sacral orthosis, immobilizer, infant size, prefabricated, includes fitting and adjustment",,,FALSE,C1742223,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1000-L1120,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1540,"Pressure alarm for hemodialysis, each, replacement",,,FALSE,C0498653,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7508,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg",,,FALSE,C4067614,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,20140101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,,,,51=Drugs,,,G=Immunosuppressive drugs|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9791,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent",,,FALSE,C5883986,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20231001,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20231001,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G0315,"Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt)",,,FALSE,C5771585,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20220511,0,M5D=Specialist - other,I=Not payable by Medicare,20220511,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,99=Value not established,0225=SERVICES FOR MEDICAID PURPOSES.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,Orthopedic Footwear,,,FALSE,C0813040,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3000-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,Injection - Clotting Factors,,,FALSE,C4542612,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J0100-J8999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0558,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units",,,FALSE,C2959227,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1835,"Injection, itraconazole, 50 mg",,,FALSE,C0993944,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20020101,0,O1E=Other drugs,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9356,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk",,,FALSE,C5229178,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20190701,0,O1E=Other drugs,C=Carrier judgment,20190701,,,A=Not applicable as HCPCS priced under one methodology,,20190701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9298,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg",,,FALSE,C5771642,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20221001,0,O1D=Chemotherapy,C=Carrier judgment,20221001,,,A=Not applicable as HCPCS priced under one methodology,,20221001,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1014,"Reclining back, addition to pediatric size wheelchair",,,FALSE,C1145099,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,D=Special coverage instructions apply,20030101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7209,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u.",,,FALSE,C4316096,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,20170101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3891,"Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each",,,FALSE,C2729292,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3806-L3904,N=No maintenance for this code,20100101,0,D1F=Prosthetic/Orthotic devices,I=Not payable by Medicare,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1283,Patient screened for tobacco use and identified as a tobacco user,,,FALSE,C5849242,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/T4530,"Pediatric sized disposable incontinence product, brief/diaper, large size, each",,,FALSE,C1509112,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20050101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4217,"Sterile water/saline, 500 ml",,,FALSE,C1314217,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"1=Medical care|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",,,FALSE,C0499399,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0180-L0200,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19840101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3020,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each",,,FALSE,C0499642,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3000-L3031,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1575,"Transducer protectors/fluid barriers, for hemodialysis, any size, per 10",,,FALSE,C0498657,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1122,"Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care",,,FALSE,C5203703,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5613,"Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control",,,FALSE,C0499866,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5610-L5617,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S4030,Sperm procurement and cryopreservation services; initial visit,,,FALSE,C0994143,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5624,"Addition to lower extremity, test socket, above knee",,,FALSE,C0499873,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5618-L5628,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2511,"Contact lens, gas permeable, toric, prism ballast, per lens",,,FALSE,C0500387,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2500-V2599,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J3380,"Injection, vedolizumab, intravenous, 1 mg",,,FALSE,C5974268,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240401,0,O1E=Other drugs,D=Special coverage instructions apply,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,51=Drugs,"0127=PUBLICATION 100.2, CHAPTER 15, 50.1.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",,,FALSE,C0498417,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19910101,0,D1B=Hospital beds,D=Special coverage instructions apply,19910101,60-18,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5510,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model",,,FALSE,C0499852,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5510-L5600,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9395,"Injection, fulvestrant, 25 mg",,,FALSE,C1314430,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20040101,0,O1E=Other drugs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4310,Insertion tray without drainage bag and without catheter (accessories only),,,FALSE,C0497811,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,19900101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9104,"Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)",,,FALSE,C1616326,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0602-E0604,Breast Pump,,,FALSE,C0182541,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G4013,Mental/behavioral and psychiatry mips specialty set,,,FALSE,C5574516,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0068-G0090,"Administration, Payment and Care Management Services",,,FALSE,C4746265,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K0861,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds",,,FALSE,C1737760,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0673,"Segmental gradient pressure pneumatic appliance, half leg",,,FALSE,C0498496,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0650-E0677,N=No maintenance for this code,19950101,0,D1E=Other DME,D=Special coverage instructions apply,19950101,60-16,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9470,Patients not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills,,,FALSE,C5551244,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4190,"Artacent ac, per square centimeter",,,FALSE,C4746486,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Q4193,"Coll-e-derm, per square centimeter",,,FALSE,C4746489,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G0567,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique",,,FALSE,C5979724,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,A=Add procedure or modifier code,20240627,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,20240627,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/A9152,"Single vitamin/mineral/trace element, oral, per dose, not otherwise specified",,,FALSE,C1508837,http://purl.bioontology.org/ontology/STY/T121|http://purl.bioontology.org/ontology/STY/T127,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20050101,0,Z2=Undefined codes,I=Not payable by Medicare,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T121|http://purl.bioontology.org/ontology/STY/T127
http://purl.bioontology.org/ontology/HCPCS/G0454,"Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist",,,FALSE,C3534799,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0452-G0465,N=No maintenance for this code,20130101,0,M5D=Specialist - other,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A9587,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie",,,FALSE,C4316070,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1166,Pathology report for tissue specimens produced from wide local excisions or re-excisions,,,FALSE,C5771676,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L2610,"Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each",,,FALSE,C0499611,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2570-L2680,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9869,"Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, 10-20 minutes",,,FALSE,C5574543,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20210401,0,M5D=Specialist - other,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4382,"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each",,,FALSE,C0812610,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0480-G0483,Drug Tests,,,FALSE,C0038577,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/G8749,"Absence of signs of melanoma (tenderness, jaundice, localized neurologic signs such as weakness, or any other sign suggesting systemic spread) or absence of symptoms of melanoma (cough, dyspnea, pain, paresthesia, or any other symptom suggesting the possibility of systemic spread of melanoma)",,,FALSE,C3248490,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20190101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G8410,Footwear evaluation performed and documented,,,FALSE,C1971256,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20080101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L0484,"Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, lateral strength is enhanced by overlapping plastic, restricts gross trunk motion in the sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated",,,FALSE,C1145269,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9131,"Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)",,,FALSE,C1971323,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L2300,"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable",,,FALSE,C0499579,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9332,"Injection, efgartigimod alfa-fcab, 2mg",,,FALSE,C5771644,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20220701,0,O1D=Chemotherapy,C=Carrier judgment,20220701,,,A=Not applicable as HCPCS priced under one methodology,,20220701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1955,"Injection, levocarnitine, per 1 gm",,,FALSE,C0498916,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19960101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0640,"Injection, leucovorin calcium, per 50 mg",,,FALSE,C0498789,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1038,Patients with a diagnosis of lumbar spine region fracture at the time of the procedure,,,FALSE,C4746454,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/G0317,"Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes)",,,FALSE,C5771587,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20230101,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q0138,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)",,,FALSE,C2729363,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0138-Q0249,N=No maintenance for this code,20100101,0,O1E=Other drugs,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,20100101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E2208,"Wheelchair accessory, cylinder tank carrier, each",,,FALSE,C1616809,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9958,Patient did not receive combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively,,,FALSE,C4542778,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J0594,"injection, busulfan, 1 mg",,,FALSE,C1741403,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20070101,0,O1E=Other drugs,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4147,"Architect, architect px, or architect fx, extracellular matrix, per square centimeter",,,FALSE,C3871387,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20150101,0,O1E=Other drugs,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J3394,"Injection, lovotibeglogene autotemcel, per treatment",,,FALSE,C5974271,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,20240701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1036,Adults who have not had at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days,,,FALSE,C4746452,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/M1218,"Patient has copd symptoms (e.g., dyspnea, cough/sputum, wheezing)",,,FALSE,C5884125,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3975,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",,,FALSE,C1617356,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3975-L3978,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2118,Patients 81 years of age and older with at least one claim/encounter for frailty during the measurement period,,,FALSE,C5203729,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20T1000-T9999,Temporary National Codes Established by Medicaid,,,FALSE,C1971547,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/MTHU000323,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/Q4337,"Artacent trident, per square centimeter",,,FALSE,C5974414,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20241001,0,O1E=Other drugs,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L1652,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C1145273,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1600-L1690,N=No maintenance for this code,20241001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/H2036,"Alcohol and/or other drug treatment program, per diem",,,FALSE,C1314409,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G1026,The number of adult patient-months in the denominator who were on maintenance hemodialysis using a catheter continuously for three months or longer under the care of the same practitioner or group partner as of the last hemodialysis session of the reporting month,,,FALSE,C5574498,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G1000-G1028,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J1435,"Injection, estrone, per 1 mg",,,FALSE,C0498861,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20140101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",,,FALSE,C1314226,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1194,"Documentation of medical reason(s) surgical pathology reports did not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both tests were not included (e.g., patient will not be treated with checkpoint inhibitor therapy, no residual carcinoma is present in the sample [tissue exhausted or status post neoadjuvant treatment], insufficient tumor for testing)",,,FALSE,C5771699,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S9470,"Nutritional counseling, dietitian visit",,,FALSE,C0812859,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4166,"Cytal, per square centimeter",,,FALSE,C4316085,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/K0006,Heavy duty wheelchair,,,FALSE,C0499167,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,19940101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,http://purl.bioontology.org/ontology/HCPCS/E1290|http://purl.bioontology.org/ontology/HCPCS/E1285,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9055,"Oncology; primary focus of visit; other, unspecified service not otherwise listed (for use in a medicare-approved demonstration project)",,,FALSE,C1616829,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1636,"Sorbent cartridges, for hemodialysis, per 10",,,FALSE,C0498666,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0506,"Bifocal vision prescription lens (safety, athletic, or sunglass), per lens",,,FALSE,C0994086,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0500-S0596,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2128,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated",,,FALSE,C0499557,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2106-L2136,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/JA,Administered intravenously,,,FALSE,C1737200,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20070101,,,C=Carrier judgment,20070101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/JB,Administered subcutaneously,,,FALSE,C1736929,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20070101,,,C=Carrier judgment,20070101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J1,Competitive acquisition program no-pay submission for a prescription number,,,FALSE,C1617819,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20060101,,,C=Carrier judgment,20060101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/JE,Administered via dialysate,,,FALSE,C3710263,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20130701,,,C=Carrier judgment,20130701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2,"Competitive acquisition program, restocking of emergency drugs after emergency administration",,,FALSE,C1617309,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20060101,,,C=Carrier judgment,20060101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J5,Off-the-shelf orthotic subject to dmepos competitive bidding program that is furnished as part of a physical therapist or occupational therapist professional service,,,FALSE,C5439624,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20201001,,,C=Carrier judgment,20201001,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J4,Dmepos item subject to dmepos competitive bidding program that is furnished by a hospital upon discharge,,,FALSE,C2729420,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20100101,,,C=Carrier judgment,20100101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/JD,Skin substitute not used as a graft,,,FALSE,C2368523,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20090101,,,C=Carrier judgment,20090101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/JL,Three month supply of drug or biological,,,FALSE,C5852383,http://purl.bioontology.org/ontology/STY/T185,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20230401,,,C=Carrier judgment,20230401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T185
http://purl.bioontology.org/ontology/HCPCS/J3,"Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology",,,FALSE,C1616800,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20060101,,,C=Carrier judgment,20060101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/JC,Skin substitute used as a graft,,,FALSE,C2368522,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20090101,,,C=Carrier judgment,20090101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/JZ,Zero drug amount discarded/not administered to any patient,,,FALSE,C5771741,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20230101,,,C=Carrier judgment,20230101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/JK,One month supply or less of drug or biological,,,FALSE,C5852382,http://purl.bioontology.org/ontology/STY/T185,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20230401,,,C=Carrier judgment,20230401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T185
http://purl.bioontology.org/ontology/HCPCS/JW,Drug amount discarded/not administered to any patient,,,FALSE,C1144873,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,C=Carrier judgment,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9551,Final reports for imaging studies without an incidentally found lesion noted,,,FALSE,C5229145,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0209,"Injection, sodium thiosulfate (hope), 100 mg",,,FALSE,C5974216,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2137,Back pain measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively was greater than 3.0 and back pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated improvement of less than 5.0 points,,,FALSE,C5229099,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9479,"Services performed by qualified pharmacist in the hospice setting, each 15 minutes",,,FALSE,C4067445,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,M5D=Specialist - other,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S0122,"Injection, menotropins, 75 iu",,,FALSE,C1145306,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each",,,FALSE,C0812616,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6536,"Gradient compression stocking, full length/chap style, 18-30 mmhg, each",,,FALSE,C0500157,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7186,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",,,FALSE,C2368487,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20090101,0,O1E=Other drugs,D=Special coverage instructions apply,20090101,,,A=Not applicable as HCPCS priced under one methodology,2049,20090101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G4006,Gastro-enterology mips specialty set,,,FALSE,C5574509,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0280,"Bed cradle, any type",,,FALSE,C1879325,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19890101,0,D1B=Hospital beds,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9520,"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",,,FALSE,C3710268,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20160101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4268,"Surgraft ft, per square centimeter",,,FALSE,C5884237,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230401,0,O1E=Other drugs,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L6881,"Automatic grasp feature, addition to upper limb electric prosthetic terminal device",,,FALSE,C0993983,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6700-L6882,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",,,FALSE,C1314227,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6508,"Compression burn garment, foot to thigh length, custom fabricated",,,FALSE,C1144978,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4435,"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each",,,FALSE,C3534820,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2220,"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each",,,FALSE,C1618859,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/G9408,Patients with cardiac tamponade and/or pericardiocentesis occurring within 30 days,,,FALSE,C3871316,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A9280,"Alert or alarm device, not otherwise classified",,,FALSE,C1314267,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20040101,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1747,"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)",,,FALSE,C5771511,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20230101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,53=Statute,,1833(t),F=Ambulatory surgical center (facility usage for surgical services)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1769,Guide wire,,,FALSE,C0181089,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6601,"Gradient compression bandaging supply, high density foam pad, any size or shape, each",,,FALSE,C5883941,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6593-A6611,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A7526,"Tracheostomy tube collar/holder, each",,,FALSE,C1314266,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7501-A7527,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0023,"Principal illness navigation services by certified or trained auxiliary personnel under the direction of a physician or other practitioner, including a patient navigator; 60 minutes per calendar month",,,FALSE,C5884003,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0019-G0024,N=No maintenance for this code,20240101,0,M5D=Specialist - other,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,"Principal illness navigation services by certified or trained auxiliary personnel under the direction of a physician or other practitioner, including a patient navigator; 60 minutes per calendar month, in the following activities: person-centered assessment, performed to better understand the individual context of the serious, high-risk condition. ++ conducting a person-centered assessment to understand the patient's life story, strengths, needs, goals, preferences, and desired outcomes, including understanding cultural and linguistic factors and including unmet sdoh needs (that are not separately billed). ++ facilitating patient-driven goal setting and establishing an action plan. ++ providing tailored support as needed to accomplish the practitioner's treatment plan. identifying or referring patient (and caregiver or family, if applicable) to appropriate supportive services. practitioner, home, and community-based care coordination. ++ coordinating receipt of needed services from healthcare practitioners, providers, and facilities; home- and community-based service providers; and caregiver (if applicable). ++ communication with practitioners, home-, and community-based service providers, hospitals, and skilled nursing facilities (or other health care facilities) regarding the patient's psychosocial strengths and needs, functional deficits, goals, preferences, and desired outcomes, including cultural and linguistic factors. ++ coordination of care transitions between and among health care practitioners and settings, including transitions involving referral to other clinicians; follow-up after an emergency department visit; or follow-up after discharges from hospitals, skilled nursing facilities or other health care facilities. ++ facilitating access to community-based social services (e.g., housing, utilities, transportation, food assistance) as needed to address sdoh need(s). health education- helping the patient contextualize health education provided by the patient's treatment team with the patient's individual needs, goals, preferences, and sdoh need(s), and educating the patient (and caregiver if applicable) on how to best participate in medical decision-making. building patient self-advocacy skills, so that the patient can interact with members of the health care team and related community-based services (as needed), in ways that are more likely to promote personalized and effective treatment of their condition. health care access / health system navigation. ++ helping the patient access healthcare, including identifying appropriate practitioners or providers for clinical care, and helping secure appointments with them. ++ providing the patient with information/resources to consider participation in clinical trials or clinical research as applicable. facilitating behavioral change as necessary for meeting diagnosis and treatment goals, including promoting patient motivation to participate in care and reach person-centered diagnosis or treatment goals. facilitating and providing social and emotional support to help the patient cope with the condition, sdoh need(s), and adjust daily routines to better meet diagnosis and treatment goals. leverage knowledge of the serious, high-risk condition and/or lived experience when applicable to provide support, mentorship, or inspiration to meet treatment goals",,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S8429,Gradient pressure exterior wrap,,,FALSE,C0994189,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2784,"Lens, polycarbonate or equal, any index, per lens",,,FALSE,C1314660,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,2130.B,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/C9804,"Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)",,,FALSE,C5974115,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20250101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,53=Statute,,1833(t),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",,,FALSE,C1739995,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3806-L3904,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/H2012,"Behavioral health day treatment, per hour",,,FALSE,C1314385,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4115,"Alloskin, per square centimeter",,,FALSE,C2959316,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20090701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J9317,"Injection, sacituzumab govitecan-hziy, 2.5 mg",,,FALSE,C5434105,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20210101,0,O1D=Chemotherapy,C=Carrier judgment,20210101,,,A=Not applicable as HCPCS priced under one methodology,,20210101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1202,"Documentation of patient reason(s) for not prescribing ace inhibitor or arb therapy during the measurement period, (e.g., patient declined, other patient reasons)",,,FALSE,C5771704,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J0275,"Alprostadil urethral suppository (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",,,FALSE,C0694950,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20000101,0,O1E=Other drugs,D=Special coverage instructions apply,19990101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1416,Patient received hospice services any time during the performance period,,,FALSE,C5974363,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S0174,"Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180)",,,FALSE,C0994058,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G4009,Hospitalists mips specialty set,,,FALSE,C5574512,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9473,"Pulmonary rehabilitation program, non-physician provider, per diem",,,FALSE,C0812861,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2036,"Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated",,,FALSE,C0499537,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2000-L2038,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4161,"Bio-connekt wound matrix, per square centimeter",,,FALSE,C4067625,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20160101,0,O1E=Other drugs,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",,,FALSE,C1742217,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",,,FALSE,C0993958,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0422,"Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session",,,FALSE,C2729180,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0422-G0423,N=No maintenance for this code,20100101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6611,"Gradient compression wrap with adjustable straps, above knee, each, custom",,,FALSE,C5979705,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6593-A6611,A=Add procedure or modifier code,20250401,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20250401,,,,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9717,Documentation stating the patient has had a diagnosis of bipolar disorder,,,FALSE,C4316218,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G6002,Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy,,,FALSE,C1618342,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G6001-G6002,N=No maintenance for this code,20150101,0,I4B=Imaging/procedure - other,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1272,Patients observed on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period,,,FALSE,C5884177,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0071,"Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only",,,FALSE,C4746306,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0068-G0090,N=No maintenance for this code,20190101,0,M5D=Specialist - other,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3500-L3595,Orthopedic Shoe Additions: Other,,,FALSE,C4542628,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3000-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6024,"Collagen dressing wound filler, sterile, per 6 inches",,,FALSE,C0918319,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2091,Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period,,,FALSE,C5203724,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3956,"Addition of joint to upper extremity orthosis, any material; per joint",,,FALSE,C0499780,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19970101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0271,"Mattress, innerspring",,,FALSE,C0498421,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19930101,0,D1B=Hospital beds,D=Special coverage instructions apply,19860101,60-9|60-18,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2525,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model",,,FALSE,C0499603,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2500-L2550,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9073,"Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage iiia-iiib; and not t3, n1, m0; and er and/or pr positive; with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1619385,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/R0075,"Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen",,,FALSE,C0500311,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20R0070-R0076,N=No maintenance for this code,19980101,0,I1F=Standard imaging - other,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2070.4|5244.B,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A9517,"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie",,,FALSE,C1145001,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,57=Other carrier priced,,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/G0480,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed",,,FALSE,C4067428,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0480-G0483,N=No maintenance for this code,20170101,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,20160101,,340=Toxicology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/J1439,"Injection, ferric carboxymaltose, 1 mg",,,FALSE,C3710277,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20150101,0,O1E=Other drugs,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,20150101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1301,"Whirlpool tub, walk-in, portable",,,FALSE,C5229181,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1300-E1310,N=No maintenance for this code,20240101,0,Z2=Undefined codes,M=Non-covered by Medicare,20240101,280.1,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/J7197,"Antithrombin iii (human), per i.u.",,,FALSE,C0499064,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19920101,,,A=Not applicable as HCPCS priced under one methodology,2049,20100101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1840,"Lens, intraocular (telescopic)",,,FALSE,C3248388,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20140101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20111001,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20R0070-R0076,Transportation/Setup of Portable Radiology Equipment,,,FALSE,C2729417,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20R0000-R9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K0602,"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each",,,FALSE,C1314435,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0455-K0605,N=No maintenance for this code,20030401,0,D1E=Other DME,C=Carrier judgment,20030401,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8756,"No documentation of blood pressure measurement, reason not given",,,FALSE,C2729234,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L6388,"Immediate post surgical or early fitting, application of rigid dressing only",,,FALSE,C0500013,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6380-L6388,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L8623,"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each",,,FALSE,C1619397,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8608-L8629,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0880,"Traction stand, free standing, extremity traction",,,FALSE,C0498521,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,20201001,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6205,"Composite dressing, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing",,,FALSE,C0520030,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4200,"Skin te, per square centimeter",,,FALSE,C4746494,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J0591,"Injection, deoxycholic acid, 1 mg",,,FALSE,C5439732,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0137,"Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg",,,FALSE,C5884019,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J3486,"Injection, ziprasidone mesylate, 10 mg",,,FALSE,C1314424,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20040101,0,O1E=Other drugs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5616,"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control",,,FALSE,C0499868,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5610-L5617,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2358,"Injection, olanzapine, long-acting, 1 mg",,,FALSE,C2959256,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4178,"Floweramniopatch, per square centimeter",,,FALSE,C4542809,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/S9055,Procuren or other growth factor preparation to promote wound healing,,,FALSE,C0812841,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2402,"Injection, chloroprocaine hydrochloride (clorotekal), per 1 mg",,,FALSE,C5771629,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230101,0,O1E=Other drugs,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6528,"Gradient compression garment, bra, for nighttime use, each",,,FALSE,C5883891,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8652,Residual score for the hip impairment successfully calculated and the score was less than zero (< 0),,,FALSE,C4722495,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6945,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device",,,FALSE,C0500113,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6920-L6975,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A0432,"Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers",,,FALSE,C0918297,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20010101,0,O1A=Ambulance,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1375,An additional encounter with an ra diagnosis during the performance period or prior performance period that is at least 90 days before or after an encounter with an ra diagnosis during the performance period,,,FALSE,C5974323,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C1739,"Tissue marker, probe detectable any method (implantable), with delivery system",,,FALSE,C5974097,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,C=Change in long description of procedure or modifier code,20250401,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,53=Statute,,1833(t),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0607-E0620,Monitoring Equipment,,,FALSE,C3853620,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8020,"Breast prosthesis, mastectomy form",,,FALSE,C0500149,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8000-L8039,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2130 A,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6615,"Upper extremity addition, disconnect locking wrist unit",,,FALSE,C0500028,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1295,Patients with a diagnosis or past history of total colectomy or colorectal cancer,,,FALSE,C5878969,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V5060,"Hearing aid, monaural, behind the ear",,,FALSE,C0500433,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5030-V5060,N=No maintenance for this code,19950101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A9602,"Fluorodopa f-18, diagnostic, per millicurie",,,FALSE,C5771509,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20221001,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20221001,,,A=Not applicable as HCPCS priced under one methodology,,20221001,,YY,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",,,FALSE,C0497945,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5051-A5093,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9026,"Injection, tarlatamab-dlle, 1 mg",,,FALSE,C5979861,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20250101,0,O1D=Chemotherapy,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3550,"Orthopedic shoe addition, toe tap standard",,,FALSE,C0499716,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3500-L3595,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G4002,Electrophysiology cardiac specialist mips specialty set,,,FALSE,C5574505,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/B4160,"Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",,,FALSE,C1508847,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4100-B4162,N=No maintenance for this code,20050101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,20050101,65-10,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/P9044,"Plasma, cryoprecipitate reduced, each unit",,,FALSE,C0919124,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20010101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2455.B,,,,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4766,"Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 ml",,,FALSE,C0993699,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L8480,"Prosthetic sock, single ply, fitting, above knee, each",,,FALSE,C0500180,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8400-L8485,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2133,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1165,"Injection, phenytoin sodium, per 50 mg",,,FALSE,C0498840,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L0491,"Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal and coronal planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment",,,FALSE,C1314451,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G4025,Physical medicine mips specialty set,,,FALSE,C5574528,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2500-V2599,Vision Services - Contact Lenses,,,FALSE,C0813138,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20V0000-V2999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1354,"Oxygen accessory, wheeled cart for portable cylinder or portable concentrator, any type, replacement only, each",,,FALSE,C2368679,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1352-E1406,N=No maintenance for this code,20090101,0,D1C=Oxygen and supplies,C=Carrier judgment,20090101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6448,"Light compression bandage, elastic, knitted/woven, width less than three inches, per yard",,,FALSE,C1314250,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6413-A6461,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5970,"All lower extremity prostheses, foot, external keel, sach foot",,,FALSE,C0499978,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G4017,Nutrition/dietician mips specialty set,,,FALSE,C5574520,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L3420,"Full sole and heel wedge, between sole",,,FALSE,C0499701,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3340-L3420,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4280,"Adhesive skin support attachment for use with external breast prosthesis, each",,,FALSE,C0499343,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20000101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6584,"Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to patient model",,,FALSE,C0500021,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6580-L6590,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L8500-L9900,Prosthetic Procedures - Prosthetic Implants,,,FALSE,C4542642,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L5000-L9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4463,"Surgical dressing holder, reusable, each",,,FALSE,C1742740,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20070101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9157-G9157,Cardiac Monitoring,,,FALSE,C0150496,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/H0039,"Assertive community treatment, face-to-face, per 15 minutes",,,FALSE,C1145172,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2062,"Loxapine for inhalation, 1 mg",,,FALSE,C4746407,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9305,"Injection, pemetrexed, not otherwise specified, 10 mg",,,FALSE,C1508861,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20201001,0,O1E=Other drugs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9913,"Hepatitis b virus (hbv) status not assessed and results interpreted prior to initiating anti-tnf (tumor necrosis factor) therapy, reason not otherwise specified",,,FALSE,C4541027,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J7657,"Isoproterenol hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram",,,FALSE,C1741406,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T1016,"Case management, each 15 minutes",,,FALSE,C1145359,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20020701,0,Z2=Undefined codes,I=Not payable by Medicare,20020701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E1009,"Wheelchair accessory, addition to power seating system, mechanically linked leg elevation system, including pushrod and leg rest, each",,,FALSE,C1314323,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8033,"Nipple prosthesis, custom fabricated, reusable, any material, any type, each",,,FALSE,C5229185,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8000-L8039,N=No maintenance for this code,20200101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9376,"Home infusion therapy, hydration therapy; more than two liters but no more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994246,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0186,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions)",,,FALSE,C0919013,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20010101,0,P4D=Eye procedure - treatment of retinal lesions,C=Carrier judgment,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,20080101,,YY,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0099=SEE NPRM SPING 2000.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8752,Most recent systolic blood pressure < 140 mmhg,,,FALSE,C2729230,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0769,"Electrical stimulation or electromagnetic wound treatment device, not otherwise classified",,,FALSE,C1508919,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20050101,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20050101,35-102,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1892,"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away",,,FALSE,C0993791,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4031,"Cast supplies, long leg cast, pediatric (0-10 years), plaster",,,FALSE,C0994026,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2632,Posterior chamber intraocular lens,,,FALSE,C2366840,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2630-V2632,N=No maintenance for this code,20141001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,56=IOL's inserted in a physician's office (eff 10/1/2014),,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C1886,"Catheter, extravascular tissue ablation, any modality (insertable)",,,FALSE,C3248389,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20140101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A7028,"Oral cushion for combination oral/nasal mask, replacement only, each",,,FALSE,C1971392,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20080101,0,D1E=Other DME,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A0394,Als specialized service disposable supplies; iv drug therapy,,,FALSE,C0497762,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20140101,0,O1A=Ambulance,I=Not payable by Medicare,19950101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0522,"Management of a new patient with dementia, low complexity, for use in cmmi model",,,FALSE,C5974155,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0519-G0531,N=No maintenance for this code,20240701,0,Z2=Undefined codes,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/T2032,"Residential care, not otherwise specified (nos), waiver; per month",,,FALSE,C1314632,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0156-E0159,Attachments,,,FALSE,C1947905,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0745,"Injection, codeine phosphate, per 30 mg",,,FALSE,C0498808,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A2011,"Supra sdrm, per square centimeter",,,FALSE,C5771497,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20220401,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20220401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1200-L1290,Thoracic-Lumbar-Sacral Orthotics (Low Profile),,,FALSE,C5228961,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L0100-L4999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7699,"Noc drugs, inhalation solution administered through dme",,,FALSE,C0499096,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7699-J8499,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,19930101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5696,"Addition to lower extremity, above knee or knee disarticulation, pelvic joint",,,FALSE,C0499928,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S2209,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using two arterial grafts and single venous graft",,,FALSE,C0812817,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9132,"Oncology; disease status; prostate cancer, limited to adenocarcinoma; hormone-refractory/androgen-independent (e.g., rising psa on anti-androgen therapy or post-orchiectomy); clinical metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1971324,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5973,"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source",,,FALSE,C2729293,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,20100101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6630,"Upper extremity addition, stainless steel, any wrist",,,FALSE,C0500035,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3510,"Orthopedic shoe addition, insole, rubber",,,FALSE,C0499712,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3500-L3595,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C8927,"Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",,,FALSE,C1971562,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8921-C8930,N=No maintenance for this code,20080101,0,I3C=Echography/ultrasonography - heart,D=Special coverage instructions apply,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/L0456,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710474,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5050,"Hearing aid, monaural, in the ear",,,FALSE,C0500432,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5030-V5060,N=No maintenance for this code,20010101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/FQ,The service was furnished using audio-only communication technology,,,FALSE,C5574417,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20220101,,,C=Carrier judgment,20220101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/FP,Service provided as part of family planning program,,,FALSE,C0497621,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20050101,,,C=Carrier judgment,19870101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/FT,"Unrelated evaluation and management (e/m) visit on the same day as another e/m visit or during a global procedure (preoperative, postoperative period, or on the same day as the procedure, as applicable). (report when an e/m visit is furnished within the global period but is unrelated, or when one or more additional e/m visits furnished on the same day are unrelated)",,,FALSE,C5574420,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20220101,,,C=Carrier judgment,20220101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/F5,"Right hand, thumb",,,FALSE,C0497615,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/F6,"Right hand, second digit",,,FALSE,C0497616,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/F3,"Left hand, fourth digit",,,FALSE,C0497613,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/FX,X-ray taken using film,,,FALSE,C4316294,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20170101,,,C=Carrier judgment,20170101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/F2,"Left hand, third digit",,,FALSE,C0497612,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/F4,"Left hand, fifth digit",,,FALSE,C0497614,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/FR,"The supervising practitioner was present through two-way, audio/video communication technology",,,FALSE,C5574418,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20220101,,,C=Carrier judgment,20220101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/FB,"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)",,,FALSE,C1620967,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20080101,,,I=Not payable by Medicare,20060101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/F8,"Right hand, fourth digit",,,FALSE,C0497618,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/F1,"Left hand, second digit",,,FALSE,C0497611,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/F9,"Right hand, fifth digit",,,FALSE,C0497619,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/FA,"Left hand, thumb",,,FALSE,C0497620,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/FY,X-ray taken using computed radiography technology/cassette-based imaging,,,FALSE,C4542670,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20180101,,,C=Carrier judgment,20180101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/FC,Partial credit received for replaced device,,,FALSE,C1971579,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20080101,,,D=Special coverage instructions apply,20080101,,,,,,,,,"0143=INTERNET ONLY MANUAL 100.4, CHAPTER 4, SECTION 61.3.",,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/F7,"Right hand, third digit",,,FALSE,C0497617,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/FS,Split (or shared) evaluation and management visit,,,FALSE,C5574419,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20220101,,,C=Carrier judgment,20220101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5614,"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control",,,FALSE,C0499867,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5610-L5617,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/B4216,"Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes), home mix, per day",,,FALSE,C0497998,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4164-B5200,N=No maintenance for this code,20020101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19840101,65-10,,A=Not applicable as HCPCS priced under one methodology,2130|4450,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/J3485,"Injection, zidovudine, 10 mg",,,FALSE,C0919075,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9059,"Oncology; practice guidelines; management differs from guidelines because the patient, after being offered treatment consistent with guidelines, has opted for alternative treatment or management, including no treatment (for use in a medicare-approved demonstration project)",,,FALSE,C1618878,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3070,"Foot, arch support, non-removable attached to shoe, longitudinal, each",,,FALSE,C0499647,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3070-L3100,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S0142,"Colistimethate sodium, inhalation solution administered through dme, concentrated form, per mg",,,FALSE,C1621025,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20050401,0,Z2=Undefined codes,I=Not payable by Medicare,20050401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5688,"Addition to lower extremity, below knee, waist belt, webbing",,,FALSE,C0499923,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7649,"Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",,,FALSE,C0520208,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S9336,"Home infusion therapy, continuous anticoagulant infusion therapy (e.g., heparin), administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994217,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/TC,"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",,,FALSE,C0497699,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19840101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/TP,"Medical transport, unloaded vehicle",,,FALSE,C1144886,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020401,,,I=Not payable by Medicare,20020401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/TR,School-based individualized education program (iep) services provided outside the public school district responsible for the student,,,FALSE,C1144888,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,I=Not payable by Medicare,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T2,"Left foot, third digit",,,FALSE,C0497690,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/TK,"Extra patient or passenger, non-ambulance",,,FALSE,C1144882,http://purl.bioontology.org/ontology/STY/T098,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020401,,,I=Not payable by Medicare,20020401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T098
http://purl.bioontology.org/ontology/HCPCS/T1,"Left foot, second digit",,,FALSE,C0497689,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/TW,Back-up equipment,,,FALSE,C1144893,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T7,"Right foot, third digit",,,FALSE,C0497695,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/T9,"Right foot, fifth digit",,,FALSE,C0497697,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/TA,"Left foot, great toe",,,FALSE,C0497698,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/TE,Lpn/lvn,,,FALSE,C0993668,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20010701,,,I=Not payable by Medicare,20010701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/T8,"Right foot, fourth digit",,,FALSE,C0497696,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/TH,"Obstetrical treatment/services, prenatal or postpartum",,,FALSE,C0993671,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20010701,,,I=Not payable by Medicare,20010701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/TB,"Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes",,,FALSE,C4542675,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20250101,,,C=Carrier judgment,20180101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/TJ,"Program group, child and/or adolescent",,,FALSE,C0993672,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20010701,,,I=Not payable by Medicare,20010701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T4,"Left foot, fifth digit",,,FALSE,C0497692,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/TG,Complex/high tech level of care,,,FALSE,C0993670,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20010701,,,I=Not payable by Medicare,20010701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/T3,"Left foot, fourth digit",,,FALSE,C0497691,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/T6,"Right foot, second digit",,,FALSE,C0497694,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/TV,"Special payment rates, holidays/weekends",,,FALSE,C1144892,http://purl.bioontology.org/ontology/STY/T057,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T057
http://purl.bioontology.org/ontology/HCPCS/TF,Intermediate level of care,,,FALSE,C0993669,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20010701,,,I=Not payable by Medicare,20010701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/TD,Rn,,,FALSE,C4281819,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20010701,,,I=Not payable by Medicare,20010701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/TU,"Special payment rate, overtime",,,FALSE,C1144891,http://purl.bioontology.org/ontology/STY/T057,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T057
http://purl.bioontology.org/ontology/HCPCS/T5,"Right foot, great toe",,,FALSE,C0497693,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/TT,Individualized service provided to more than one patient in same setting,,,FALSE,C1144890,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20021001,,,I=Not payable by Medicare,20021001,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/TS,Follow-up service,,,FALSE,C1144889,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20060101,,,C=Carrier judgment,20021001,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/TQ,Basic life support transport by a volunteer ambulance provider,,,FALSE,C1144887,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020401,,,I=Not payable by Medicare,20020401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/TM,Individualized education program (iep),,,FALSE,C1144884,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020401,,,I=Not payable by Medicare,20020401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/TL,Early intervention/individualized family service plan (ifsp),,,FALSE,C1144883,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020401,,,I=Not payable by Medicare,20020401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/TN,Rural/outside providers' customary service area,,,FALSE,C1144885,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020401,,,I=Not payable by Medicare,20020401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3766,"Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment",,,FALSE,C1618894,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3702-L3766,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5981,"All lower extremity prostheses, flex-walk system or equal",,,FALSE,C0499985,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,19940101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q5150,"Injection, aflibercept-mrbb (ahzantive), biosimilar, 1 mg",,,FALSE,C5979774,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0550,"Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, including a written report to the patient's treating/requesting practitioner, 5 minutes or more of medical consultative time",,,FALSE,C5974183,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9319,"Imaging study not named according to standardized nomenclature, reason not given",,,FALSE,C3710419,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L1120,"Addition to ctlso, scoliosis orthosis, cover for upright, each",,,FALSE,C0499468,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1000-L1120,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1021,Patient had only urgent care visits during the performance period,,,FALSE,C4746443,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V5256,"Hearing aid, digital, monaural, ite",,,FALSE,C0994305,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9293,"Injection, mitoxantrone hydrochloride, per 5 mg",,,FALSE,C0499152,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,19970101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C7902,"Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, each additional 15 minutes, provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service (list separately in addition to code for primary service)",,,FALSE,C5771571,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,M2B=Hospital visit - subsequent,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9681,This code is for onsite acute care treatment of a resident with copd or asthma; may only be billed once per day per beneficiary,,,FALSE,C4316243,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20161001,0,Z2=Undefined codes,C=Carrier judgment,20161001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C9248,"Injection, clevidipine butyrate, 1 mg",,,FALSE,C2368659,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20250101,0,O1E=Other drugs,D=Special coverage instructions apply,20090101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,53=Statute,,1833(t),1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9546,"Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie",,,FALSE,C1618851,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/M1010,Discharge/discontinuation of the episode of care documented in the medical record,,,FALSE,C5203698,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L2580,"Addition to lower extremity, pelvic control, pelvic sling",,,FALSE,C1504643,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2570-L2680,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7191,"Factor viii (antihemophilic factor (porcine)), per i.u.",,,FALSE,C0499060,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,19960101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0720,"Injection, chloramphenicol sodium succinate, up to 1 gm",,,FALSE,C0498804,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/H0026,"Alcohol and/or drug prevention process service, community-based (delivery of services to develop skills of impactors)",,,FALSE,C0919062,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0994,"Arm rest, each",,,FALSE,C0498564,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T2051,"Supports brokerage, self-directed, waiver; per diem",,,FALSE,C5771729,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20220401,0,Z2=Undefined codes,I=Not payable by Medicare,20220401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9432,Medical foods for non-inborn errors of metabolism,,,FALSE,C5574642,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20211001,0,Z2=Undefined codes,I=Not payable by Medicare,20211001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/G9008,"Coordinated care fee, physician coordinated care oversight services",,,FALSE,C0919035,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9001-G9012,N=No maintenance for this code,20001001,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20001001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0097=FOR INSTRUCTIONS RELATED TO THE MEDICARE COORDINATED CARE DEMONSTRATION (MCCD) SEF CR1050, 1116 AND 1118.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9847,Patient received systemic cancer-directed therapy in the last 14 days of life,,,FALSE,C4316116,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L2415,"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint",,,FALSE,C0499595,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2405-L2492,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1052-C1715,CMS Hospital Outpatient System - Devices and Supplies,,,FALSE,C4746263,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20C1000-C9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/C1767,"Generator, neurostimulator (implantable), non-rechargeable",,,FALSE,C0993758,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20060101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4760,"Dialysate solution test kit, for peritoneal dialysis, any type, each",,,FALSE,C0993698,http://purl.bioontology.org/ontology/STY/T203,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T203
http://purl.bioontology.org/ontology/HCPCS/S8452,"Splint, prefabricated, elbow",,,FALSE,C0994194,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0887,"Injection, epoetin beta, 1 microgram, (for esrd on dialysis)",,,FALSE,C3871369,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230101,0,O1E=Other drugs,D=Special coverage instructions apply,20150101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,57=Other carrier priced,"0195=PUB. 100-4, CH.4, SEC 240.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q0144,"Azithromycin dihydrate, oral, capsules/powder, 1 gram",,,FALSE,C0500286,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0138-Q0249,N=No maintenance for this code,20020701,0,O1E=Other drugs,M=Non-covered by Medicare,19960701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0054=CODE Q0144 ESTABLISHED AS A NATIONAL CODE FOR MEDICAID USE.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6515,"Gradient compression wrap with adjustable straps, full leg, each, custom",,,FALSE,C5979699,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,A=Add procedure or modifier code,20250401,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20250401,,,,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9150,Evaluation by ocularist,,,FALSE,C1145423,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2389,"Power wheelchair accessory, foam caster tire, any size, replacement only, each",,,FALSE,C1738015,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20070101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A7039,"Filter, non disposable, used with positive airway pressure device",,,FALSE,C0499319,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9734,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance",,,FALSE,C3710278,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20240101,0,P5E=Ambulatory procedures - other,D=Special coverage instructions apply,20130401,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C8918,"Magnetic resonance angiography with contrast, pelvis",,,FALSE,C1314281,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8900-C8920,N=No maintenance for this code,20030701,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20030701,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,430 BIPA,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/E0160,"Sitz type bath or equipment, portable, used with or without commode",,,FALSE,C0498371,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0160-E0162,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9213,"Home management of preeclampsia, includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing services coded separately); per diem (do not use this code with any home infusion per diem code)",,,FALSE,C0994205,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9208-S9214,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J3260,"Injection, tobramycin sulfate, up to 80 mg",,,FALSE,C0499010,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6915,"Hand restoration (shading, and measurements included), replacement glove for above",,,FALSE,C0500107,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6890-L6915,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2360,"Power wheelchair accessory, 22nf non-sealed lead acid battery, each",,,FALSE,C1314358,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4369,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz",,,FALSE,C0812597,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0058,Improving care for lower extremity joint repair mips value pathways,,,FALSE,C5574483,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A6573,"Gradient compression garment, toe caps, custom, each",,,FALSE,C5883915,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0040,"Injection, ticarcillin disodium and clavulanate potassium, 3.1 grams",,,FALSE,C0812786,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6567,"Gradient compression garment, neck/head, custom, each",,,FALSE,C5883909,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9607,"Documented medical reasons for not performing intraoperative cystoscopy (e.g., urethral pathology precluding cystoscopy, any patient who has a congenital or acquired absence of the urethra) or in the case of patient death",,,FALSE,C4049804,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1213,No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70%,,,FALSE,C5884120,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E2386,"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each",,,FALSE,C1741939,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20070101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2359,"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)",,,FALSE,C3248407,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20120101,0,D1D=Wheelchairs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1152,Patients with a history of heart transplant or with a left ventricular assist device (lvad),,,FALSE,C5703345,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/H0003,Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs,,,FALSE,C0919039,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5711,"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material",,,FALSE,C0499940,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5710-L5780,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1449,"Injection, eflapegrastim-xnst, 0.1 mg",,,FALSE,C5884050,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230401,0,O1E=Other drugs,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,20230401,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9048,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg",,,FALSE,C5771638,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20230101,0,O1D=Chemotherapy,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4411,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each",,,FALSE,C1619354,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)","0124=PUBLICATION 100.2, CHAPTER 15, SS 120.",,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2351,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq",,,FALSE,C5979732,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/T2028,"Specialized supply, not otherwise specified, waiver",,,FALSE,C1314628,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/E2221,"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each",,,FALSE,C1618345,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/G2093,"Documentation of medical reason(s) for not prescribing ace inhibitor or arb or arni therapy (e.g., hypotensive patients who are at immediate risk of cardiogenic shock, hospitalized patients who have experienced marked azotemia, allergy, intolerance, other medical reasons)",,,FALSE,C5229080,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9475,"Services performed by other counselor in the hospice setting, each 15 minutes",,,FALSE,C4067441,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,M5D=Specialist - other,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4192,"Restorigin, 1 cc",,,FALSE,C4746488,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E2227,"Manual wheelchair accessory, gear reduction drive wheel, each",,,FALSE,C1971042,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0884,"Injection, argatroban, 1 mg (for esrd on dialysis)",,,FALSE,C4316102,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,20170101,,,A=Not applicable as HCPCS priced under one methodology,4273.1|2049,20180101,,YY,51=Drugs,,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0079,"Comprehensive (60 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)",,,FALSE,C4746310,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0068-G0090,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A6407,"Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard",,,FALSE,C1314242,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7520,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) includes intraprocedural injection(s) for bypass graft angiography with iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation",,,FALSE,C5771534,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P2F=Major procedure - cardiovascular - Other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/M1204,"Initial (index visit) numeric rating scale (nrs), visual rating scale (vrs), or itchyquant assessment score of greater than or equal to 4",,,FALSE,C5703340,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A5126,Adhesive or non-adhesive; disk or foam pad,,,FALSE,C0497963,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5102-A5200,N=No maintenance for this code,20000101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8658,"Interphalangeal joint spacer, silicone or equal, each",,,FALSE,C0500212,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8630-L8659,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19920101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0459,Chest wrap,,,FALSE,C0498457,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20140101,0,D1E=Other DME,I=Not payable by Medicare,19900101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9103,"Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; clinical or pathologic m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)",,,FALSE,C1616835,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C2641,"Brachytherapy source, non-stranded, palladium-103, per source",,,FALSE,C1971551,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2634-C2699,N=No maintenance for this code,20070701,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20070701,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/L5816,"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock",,,FALSE,C0499957,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A9561,"Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries",,,FALSE,C1620972,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/Q2043,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion",,,FALSE,C2958909,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,N=No maintenance for this code,20110701,0,P1G=Major procedure - other,D=Special coverage instructions apply,20110701,,,A=Not applicable as HCPCS priced under one methodology,,20110701,,YY,53=Statute,"0175=NCD PUB 100-3, 110.22.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9983,"Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires at least 2 of the following 3 key components: a problem focused history; a problem focused examination; straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology",,,FALSE,C4722163,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20181001,0,M1B=Office visits - established,C=Carrier judgment,20181001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G8733,Elder maltreatment screen documented as positive and a follow-up plan is documented,,,FALSE,C3248475,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L0635,"Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, prefabricated, includes fitting and adjustment",,,FALSE,C1617353,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0628-L0640,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5665,"Addition to lower extremity, socket insert, multi-durometer, below knee",,,FALSE,C0499907,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9838,Patient has metastatic disease at diagnosis,,,FALSE,C4316119,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q0249,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg",,,FALSE,C5574633,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0138-Q0249,N=No maintenance for this code,20210624,0,O1G=Immunizations/Vaccinations,C=Carrier judgment,20210624,,,A=Not applicable as HCPCS priced under one methodology,,,,,54=Vaccinations,,,"V=Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",,,FALSE,C0497834,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6538,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, each",,,FALSE,C0500159,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1277,Colorectal cancer screening results documented and reviewed,,,FALSE,C2114365,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5695,"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each",,,FALSE,C0499927,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q0115,"Post-coital direct, qualitative examinations of vaginal or cervical mucous",,,FALSE,C0500275,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0111-Q0115,N=No maintenance for this code,19940101,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,19940101,,400=Hematology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/G0560,"Safety planning interventions, each 20 minutes personally performed by the billing practitioner, including assisting the patient in the identification of the following personalized elements of a safety plan: recognizing warning signs of an impending suicidal or substance use-related crisis; employing internal coping strategies; utilizing social contacts and social settings as a means of distraction from suicidal thoughts or risky substance use; utilizing family members, significant others, caregivers, and/or friends to help resolve the crisis; contacting mental health or substance use disorder professionals or agencies; and making the environment safe",,,FALSE,C5974193,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4495,"Surgical stockings thigh length, each",,,FALSE,C0497862,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2100|2079,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0830,"Ambulatory traction device, all types, each",,,FALSE,C0918998,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,20010101,0,D1E=Other DME,D=Special coverage instructions apply,20010101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0181,"Unspecified oral dosage form, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for a iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",,,FALSE,C0695006,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0138-Q0249,N=No maintenance for this code,19980401,0,O1D=Chemotherapy,D=Special coverage instructions apply,19980401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,4557,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4134,"Hmatrix, per square centimeter",,,FALSE,C3534664,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20130101,0,O1E=Other drugs,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/S0090,"Sildenafil citrate, 25 mg",,,FALSE,C1160722,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C7503,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed",,,FALSE,C5771518,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P5E=Ambulatory procedures - other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/H0016,Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting),,,FALSE,C0919052,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",,,FALSE,C4067613,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20190101,0,O1E=Other drugs,D=Special coverage instructions apply,20160101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,,,,51=Drugs,,,1=Medical care|G=Immunosuppressive drugs,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K0807,"Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds",,,FALSE,C1738023,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1395,Patients receiving an initial chemotherapy regimen with a defined duration with the eligible clinician or group,,,FALSE,C5974342,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J0567,"Injection, cerliponase alfa, 1 mg",,,FALSE,C4542684,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3211,"Surgical boot, each, junior",,,FALSE,C0499663,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2079,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C2616,"Brachytherapy source, non-stranded, yttrium-90, per source",,,FALSE,C0993805,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2616-C2616,N=No maintenance for this code,20010401,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(T),6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1810,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C0499501,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L8045,"Auricular prosthesis, provided by a non-physician",,,FALSE,C0919105,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8040-L8049,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7328,"Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg",,,FALSE,C4067611,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7318-J7329,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20180101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1573,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml",,,FALSE,C1971341,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20090101,0,O1E=Other drugs,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/H0014,Alcohol and/or drug services; ambulatory detoxification,,,FALSE,C0919050,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/H0038,"Self-help/peer services, per 15 minutes",,,FALSE,C1145171,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A9274,"External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories",,,FALSE,C1971395,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20150101,0,D1A=Medical/surgical supplies,S=Non-covered by Medicare statute,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4272,"Esano a, per square centimeter",,,FALSE,C5884240,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/H0033,"Oral medication administration, direct observation",,,FALSE,C1145166,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9307,"Injection, pralatrexate, 1 mg",,,FALSE,C2959279,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20110101,0,O1E=Other drugs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,20110101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4404,"Ostomy ring, each",,,FALSE,C0973712,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,19950101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H2011,"Crisis intervention service, per 15 minutes",,,FALSE,C1314384,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5645,"Addition to lower extremity, below knee, flexible inner socket, external frame",,,FALSE,C0499889,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,20001213,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2801,"Injection, risperidone (rykindo), 0.5 mg",,,FALSE,C5974264,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,20240401,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J3247,"Injection, secukinumab, intravenous, 1 mg",,,FALSE,C5974106,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,20240701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,"Therapy, Evaluation and Assessment",,,FALSE,C4746266,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9482,"Family stabilization services, per 15 minutes",,,FALSE,C1509098,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20050101,0,Z2=Undefined codes,I=Not payable by Medicare,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A0130,Non-emergency transportation: wheelchair van,,,FALSE,C0497718,http://purl.bioontology.org/ontology/STY/T057,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,19820101,0,O1A=Ambulance,I=Not payable by Medicare,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T057
http://purl.bioontology.org/ontology/HCPCS/E1005,"Wheelchair accessory, power seating system, recline only, with power shear reduction",,,FALSE,C1314319,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,C=Change in long description of procedure or modifier code,,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0577,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy",,,FALSE,C5974219,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,20240401,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1980,"Injection, hyoscyamine sulfate, up to 0.25 mg",,,FALSE,C0498919,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2219,Bifocal seg width over 28 mm,,,FALSE,C0500354,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,N=No maintenance for this code,19850101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9421,Primary non-small cell lung cancer lung biopsy and cytology specimen report does not document classification into specific histologic type or histologic type does not follow iaslc guidance or is classified as nsclc-nos but without an explanation,,,FALSE,C3871327,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4433,"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each",,,FALSE,C1314235,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9151,"Injection, daunorubicin citrate, liposomal formulation, 10 mg",,,FALSE,C0694964,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19990101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6695,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism",,,FALSE,C1509063,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9285,"Injection, olaratumab, 10 mg",,,FALSE,C4541755,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20230101,0,O1D=Chemotherapy,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q0487,"Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only",,,FALSE,C1617870,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9511,Index event date phq-9 or phq-9m score greater than 9 documented during the twelve month denominator identification period,,,FALSE,C4746353,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E1298,"Special wheelchair seat depth and/or width, by construction",,,FALSE,C0498625,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1280-E1298,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-6,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G4014,Nephrology mips specialty set,,,FALSE,C5574517,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J7171,"Injection, adamts13, recombinant-krhn, 10 iu",,,FALSE,C5974107,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,20240701,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2755,"U-v lens, per lens",,,FALSE,C0500419,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,2130B,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4408,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each",,,FALSE,C1144918,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E8001,"Gait trainer, pediatric size, upright support, includes all accessories and components",,,FALSE,C1508947,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E8000-E8002,N=No maintenance for this code,20050101,0,Z2=Undefined codes,I=Not payable by Medicare,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0974,"Manual wheelchair accessory, anti-rollback device, each",,,FALSE,C0498553,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,Thoracic-Lumbar-Sacral Orthotics,,,FALSE,C5228957,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L0100-L4999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1060,"Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests",,,FALSE,C0498573,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1050-E1070,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1437,"Injection, ferric derisomaltose, 10 mg",,,FALSE,C5439740,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230101,0,O1E=Other drugs,C=Carrier judgment,20201001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5530,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model",,,FALSE,C0499854,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5510-L5600,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S3866,Genetic analysis for a specific gene mutation for hypertrophic cardiomyopathy (hcm) in an individual with a known hcm mutation in the family,,,FALSE,C2729379,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S3800-S3870,N=No maintenance for this code,20090401,0,Z2=Undefined codes,I=Not payable by Medicare,20090401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G8635,"Pharmacologic therapy for osteoporosis was not prescribed, reason not given",,,FALSE,C2959171,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G2149,"Documentation of medical reason(s) for not using multimodal pain management (e.g., allergy to multiple classes of analgesics, intubated patient, hepatic failure, patient reports no pain during pacu stay, other medical reason(s))",,,FALSE,C5229111,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4651,"Calibrated microcapillary tube, each",,,FALSE,C0993677,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4648-A4652,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0828,"Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more",,,FALSE,C1741410,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1580,"Injection, garamycin, gentamicin, up to 80 mg",,,FALSE,C0498878,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1352,Suicidal ideation and/or behavior symptoms based on the c-ssrs or equivalent assessment,,,FALSE,C5884215,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9784,Pathologists/dermatopathologists providing a second opinion on a biopsy,,,FALSE,C4316169,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0423,"Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session",,,FALSE,C2729181,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0422-G0423,N=No maintenance for this code,20100101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0084,"Comprehensive (60 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)",,,FALSE,C4746314,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0068-G0090,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L3640,"Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes",,,FALSE,C0499726,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3600-L3649,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9410,"Patient admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision",,,FALSE,C5551238,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J3393,"Injection, betibeglogene autotemcel, per treatment",,,FALSE,C5974270,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,20240701,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K1007,"Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and accessories, motors, microprocessors, sensors",,,FALSE,C5439761,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K1001-K1028,N=No maintenance for this code,20240101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20201001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7552,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography and right heart catheterization with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, initial vessel",,,FALSE,C5771565,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20240101,0,P2F=Major procedure - cardiovascular - Other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/Q4105,"Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter",,,FALSE,C2959307,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G2121,"Depression, anxiety, apathy, and psychosis assessed",,,FALSE,C5229091,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E1140,"Wheelchair, detachable arms, desk or full length, swing away detachable footrests",,,FALSE,C0498591,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1130-E1161,N=No maintenance for this code,20010401,0,D1D=Wheelchairs,I=Not payable by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,K0001,,http://purl.bioontology.org/ontology/HCPCS/K0001,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A0427,"Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)",,,FALSE,C0918292,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20010101,0,O1A=Ambulance,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L8609,Artificial cornea,,,FALSE,C1261333,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8608-L8629,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4555,"Electrode/transducer for use with electrical stimulation device used for cancer treatment, replacement only",,,FALSE,C3710264,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20140101,0,D1E=Other DME,I=Not payable by Medicare,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8931-C8937,Magnetic Resonance Angiography: Spine and Upper Extremities,,,FALSE,C4542561,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20C1000-C9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/C9488,"Injection, conivaptan hydrochloride, 1 mg",,,FALSE,C4521325,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20170401,0,O1E=Other drugs,D=Special coverage instructions apply,20170401,,,A=Not applicable as HCPCS priced under one methodology,,20170401,,YY,53=Statute,,1833(t),F=Ambulatory surgical center (facility usage for surgical services)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0985,"Wheelchair accessory, seat lift mechanism",,,FALSE,C1314314,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20160701,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9071,"Injection, cyclophosphamide (auromedics), 5 mg",,,FALSE,C5703408,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240401,0,O1D=Chemotherapy,D=Special coverage instructions apply,20220401,,,A=Not applicable as HCPCS priced under one methodology,2049,20220401,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3610,"Transfer of an orthosis from one shoe to another, caliper plate, new",,,FALSE,C0499723,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3600-L3649,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9796,Patient is currently on a statin therapy,,,FALSE,C4316157,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9841,Ras (kras and nras) gene mutation testing not performed before initiation of anti-egfr moab,,,FALSE,C4542727,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0528,"Management of established patient with dementia, moderate to high complexity, for use in cmmi model",,,FALSE,C5974161,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0519-G0531,N=No maintenance for this code,20240701,0,Z2=Undefined codes,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L1852,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",,,FALSE,C3871382,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,N=No maintenance for this code,20170101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9533,Patient with minor blunt head trauma did not have an appropriate indication(s) for a head ct,,,FALSE,C4067482,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J1458,"Injection, galsulfase, 1 mg",,,FALSE,C1738560,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9424,"Specimen site other than anatomic location of lung, or classified as nsclc-nos",,,FALSE,C4049131,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9556,"Final reports for ct, cta, mri or mra of the chest or neck with follow-up imaging not recommended",,,FALSE,C4067501,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4342,"Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each",,,FALSE,C5883880,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,20230401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9768,Patients who utilize hospice services any time during the measurement period,,,FALSE,C4283832,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G8797,Specimen site other than anatomic location of esophagus,,,FALSE,C3248534,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L2785,"Addition to lower extremity orthosis, drop lock retainer, each",,,FALSE,C0499628,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2750-L2999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J3316,"Injection, triptorelin, extended-release, 3.75 mg",,,FALSE,C4746410,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,D=Special coverage instructions apply,20190101,,,A=Not applicable as HCPCS priced under one methodology,2049,20190101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,Additions to Lower Extremity Orthotics,,,FALSE,C5228963,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1600-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1620,"Injection, gonadorelin hydrochloride, per 100 mcg",,,FALSE,C0498881,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20140101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9041,"Injection, bortezomib, 0.1 mg",,,FALSE,C4746420,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20230101,0,O1D=Chemotherapy,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1637,"Hemostats, each",,,FALSE,C0180950,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0302,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services",,,FALSE,C1314376,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20040101,0,T2D=Other tests - other,C=Carrier judgment,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2388,"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each",,,FALSE,C1741400,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20070101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0144,"Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat",,,FALSE,C0812698,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0130-E0155,N=No maintenance for this code,20140401,0,D1E=Other DME,D=Special coverage instructions apply,20000101,60-9,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2755,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only",,,FALSE,C0499624,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2750-L2999,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19970101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6602,"Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each",,,FALSE,C5883942,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6593-A6611,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/X1,"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",,,FALSE,C4542677,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20180101,,,C=Carrier judgment,20180101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/XS,"Separate structure, a service that is distinct because it was performed on a separate organ/structure",,,FALSE,C3871235,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20150101,,,C=Carrier judgment,20150101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/XU,"Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service",,,FALSE,C3871236,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20150101,,,C=Carrier judgment,20150101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/XP,"Separate practitioner, a service that is distinct because it was performed by a different practitioner",,,FALSE,C3871234,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20150101,,,C=Carrier judgment,20150101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/X3,Episodic/broad services: 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,,,FALSE,C4542679,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20180101,,,C=Carrier judgment,20180101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/X2,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,,,FALSE,C4542678,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20180101,,,C=Carrier judgment,20180101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/X5,"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",,,FALSE,C4542681,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20180101,,,C=Carrier judgment,20180101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/XE,"Separate encounter, a service that is distinct because it occurred during a separate encounter",,,FALSE,C3871233,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20150101,,,C=Carrier judgment,20150101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/X4,"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",,,FALSE,C4542680,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20180101,,,C=Carrier judgment,20180101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg",,,FALSE,C0498490,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0650-E0677,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19880101,60-16,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/B9004,"Parenteral nutrition infusion pump, portable",,,FALSE,C0498007,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B9002-B9999,N=No maintenance for this code,20020101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19880101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4653,"Peritoneal dialysis catheter anchoring device, belt, each",,,FALSE,C1144953,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),C=Carrier judgment,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1600,"Injection, gold sodium thiomalate, up to 50 mg",,,FALSE,C0498879,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4258,"Spring-powered device for lancet, each",,,FALSE,C0520169,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20020101,0,D1E=Other DME,D=Special coverage instructions apply,19960101,60-11,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0190,"Mifepristone, oral, 200 mg",,,FALSE,C0994067,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/H2029,"Sexual offender treatment service, per diem",,,FALSE,C1314402,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5858,"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type",,,FALSE,C1616843,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T2047,"Habilitation, prevocational, waiver; per 15 minutes",,,FALSE,C5439804,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20201001,0,Z2=Undefined codes,I=Not payable by Medicare,20201001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2916,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg",,,FALSE,C1145203,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20030101,0,O1E=Other drugs,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2049.4|2049.2,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5362-V5364,Speech-Language Pathology Services,,,FALSE,C0813141,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20V5000-V5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9970,Clinician who referred the patient to another clinician did not receive a report from the clinician to whom the patient was referred,,,FALSE,C4542788,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S1035,"Sensor; invasive (e.g., subcutaneous), disposable, for use with artificial pancreas device system",,,FALSE,C3871402,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20140701,0,Z2=Undefined codes,I=Not payable by Medicare,20140701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S5120,Chore services; per 15 minutes,,,FALSE,C1314560,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A2017,"Permeaderm glove, each",,,FALSE,C5765606,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20221001,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20221001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7539,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system)",,,FALSE,C5771552,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P2E=Major procedure - cardiovascular - Pacemaker insertion,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T2050,"Financial management, self-directed, waiver; per diem",,,FALSE,C5771728,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20220401,0,Z2=Undefined codes,I=Not payable by Medicare,20220401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/H2019,"Therapeutic behavioral services, per 15 minutes",,,FALSE,C1314392,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0563,"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance and real-time positron emissions-based delivery adjustments to 1 or more lesions, entire course not to exceed 5 fractions",,,FALSE,C5883990,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,P7A=Oncology - radiation therapy,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S8451,"Splint, prefabricated, wrist or ankle",,,FALSE,C0994193,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4367,"Ostomy belt, each",,,FALSE,C0179289,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,2130A,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2375,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only",,,FALSE,C1741938,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20160701,0,D1D=Wheelchairs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G4036,Urgent care mips specialty set,,,FALSE,C5574539,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A2020,Ac5 advanced wound system (ac5),,,FALSE,C5883874,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20230401,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J7650,"Isoetharine hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram",,,FALSE,C1739985,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6529,"Gradient compression garment, bra, for nighttime use, custom, each",,,FALSE,C5883892,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0471,Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha),,,FALSE,C3871273,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0471-G0476,N=No maintenance for this code,20140401,0,Z2=Undefined codes,C=Carrier judgment,20140401,,,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/E2219,"Manual wheelchair accessory, foam caster tire, any size, each",,,FALSE,C1620978,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2604,"Skin protection wheelchair seat cushion, width 22 inches or greater, any depth",,,FALSE,C1508928,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2601-E2621,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0273,"Physician visit at member's home, outside of a capitation arrangement",,,FALSE,C1971376,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20070401,0,Z2=Undefined codes,I=Not payable by Medicare,20070401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/R0070,"Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen",,,FALSE,C0500310,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20R0070-R0076,N=No maintenance for this code,19980101,0,I1F=Standard imaging - other,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,5244.B|2070.4,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4244,"Alcohol or peroxide, per pint",,,FALSE,C0497793,http://purl.bioontology.org/ontology/STY/T109|http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20070101,0,D1A=Medical/surgical supplies,C=Carrier judgment,19850101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,S=Surgical dressings or other medical supplies (eff 04/95)|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T109|http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/A0080,"Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest",,,FALSE,C0497713,http://purl.bioontology.org/ontology/STY/T057,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20030101,0,O1A=Ambulance,I=Not payable by Medicare,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T057
http://purl.bioontology.org/ontology/HCPCS/C5273,"Application of low cost 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",,,FALSE,C3687796,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20140101,0,P5A=Ambulatory procedures - skin,D=Special coverage instructions apply,20140101,,,A=Not applicable as HCPCS priced under one methodology,,20140101,,YY,53=Statute,,1833(t),2=Surgery|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1000,"Injection, depo-estradiol cypionate, up to 5 mg",,,FALSE,C0498824,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7320,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg",,,FALSE,C4316095,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7318-J7329,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,20180101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6604,"Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each",,,FALSE,C5883944,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6593-A6611,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1227,Special height arms for wheelchair,,,FALSE,C0498612,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1220-E1228,N=No maintenance for this code,19900101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-6,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0669-K0746,Temporary Codes Assigned to DME Regional Carriers - Miscellaneous,,,FALSE,C4542616,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20K0000-K9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7518,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging, supervision, interpretation and report",,,FALSE,C5771532,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20250101,0,P2F=Major procedure - cardiovascular - Other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/L0970,"Tlso, corset front",,,FALSE,C0499446,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0970-L0999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2216,"Manual wheelchair accessory, foam filled propulsion tire, any size, each",,,FALSE,C1616810,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9763,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging",,,FALSE,C5439650,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20200701,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20200701,,YY,53=Statute,,1833(t),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/M1319,Patients who had documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening,,,FALSE,C5884184,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J3245,"Injection, tildrakizumab, 1 mg",,,FALSE,C4746409,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K1004,Low frequency ultrasonic diathermy treatment device for home use,,,FALSE,C5229182,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K1001-K1028,N=No maintenance for this code,20231001,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9314,"Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis, reason not given",,,FALSE,C3710414,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V2783,"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens",,,FALSE,C1314659,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,2130.B,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,Knee Orthotics (KO),,,FALSE,C2092432,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1600-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1381,"Patients with secondary stroke (e.g., a subsequent stroke that may occur with vasospasm in the setting of subarachnoid hemorrhage) within 5 days of the initial procedure",,,FALSE,C5974329,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4714,"Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon",,,FALSE,C0993687,http://purl.bioontology.org/ontology/STY/T197,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,55-1,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T197
http://purl.bioontology.org/ontology/HCPCS/Q4020,"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass",,,FALSE,C0994015,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9600-C9610,Percutaneous Transcatheter and Transluminal Coronary Procedures,,,FALSE,C4542562,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20C1000-C9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S5560,"Insulin delivery device, reusable pen; 1.5 ml size",,,FALSE,C1314589,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5550-S5571,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L4090,"Replace metal bands kafo-afo, calf or distal thigh",,,FALSE,C0499809,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4000-L4210,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L1945,"Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated",,,FALSE,C0499527,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1900-L1990,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9790,"Most recent bp is greater than 140/90 mm hg, or blood pressure not documented",,,FALSE,C4316163,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9797,Patient is not on a statin therapy,,,FALSE,C4316156,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C9482,"Injection, sotalol hydrochloride, 1 mg",,,FALSE,C4316280,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20161001,0,O1E=Other drugs,D=Special coverage instructions apply,20161001,,,A=Not applicable as HCPCS priced under one methodology,,20161001,,YY,53=Statute,,1833(t),F=Ambulatory surgical center (facility usage for surgical services)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S2150,"Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic or autologous, harvesting, transplantation, and related complications; including: pheresis and cell preparation/storage; marrow ablative therapy; drugs, supplies, hospitalization with outpatient follow-up; medical/surgical, diagnostic, emergency, and rehabilitative services; and the number of days of pre-and post-transplant care in the global definition",,,FALSE,C0994107,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20040401,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/P9073,"Platelets, pheresis, pathogen-reduced, each unit",,,FALSE,C4521664,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20190101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20180101,,,A=Not applicable as HCPCS priced under one methodology,2455B,,,,52=Reasonable charge,,1833T,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/L5705,"Custom shaped protective cover, above knee",,,FALSE,C0499936,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5704-L5707,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3931,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment",,,FALSE,C1971363,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,N=No maintenance for this code,20080101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",,,FALSE,C1145109,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1031-E1039,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20030101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1132,"Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record",,,FALSE,C5203737,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4146,"Tensix, per square centimeter",,,FALSE,C3710567,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E0625,"Patient lift, bathroom or toilet, not otherwise classified",,,FALSE,C0498477,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0621-E0642,N=No maintenance for this code,20050101,0,D1E=Other DME,M=Non-covered by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1846,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated",,,FALSE,C0499511,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6645,"Upper extremity addition, shoulder flexion-abduction joint, each",,,FALSE,C0500042,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9846,Patients who died from cancer,,,FALSE,C4316107,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0455,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen",,,FALSE,C3534798,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0452-G0465,N=No maintenance for this code,20130101,0,T2D=Other tests - other,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,Traction Equipment and Orthopedic Devices,,,FALSE,C4542573,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8430,"Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an urgent or emergent medical situation)",,,FALSE,C1971272,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20210101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G2081,"Patients age 66 and older in institutional special needs plans (snp) or residing in long-term care with a pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period",,,FALSE,C5229072,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0396-G0397,Alcohol Substance Abuse Assessment and Intervention,,,FALSE,C4542581,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0881,"Injection, darbepoetin alfa, 1 microgram (non-esrd use)",,,FALSE,C1617348,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20060101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,"0132=CARRIER PROCESSING MANUAL, CHAPTER 17.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/P9017,"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit",,,FALSE,C0500245,http://purl.bioontology.org/ontology/STY/T031,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20040101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,19870101,,,A=Not applicable as HCPCS priced under one methodology,2455 B,,,,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T031
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4356-A4360,External Urinary Supplies,,,FALSE,C0812880,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9278,Documentation that the patient is not on daily aspirin or anti-platelet regimen,,,FALSE,C3710382,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9255,Documentation of patient discharged to home no later than post operative day 2 following cea or cas,,,FALSE,C5974204,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20250101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G4024,Pediatrics mips specialty set,,,FALSE,C5574527,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S0157,"Becaplermin gel 0.01%, 0.5 gm",,,FALSE,C0919163,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A9509,"Iodine i-123 sodium iodide, diagnostic, per millicurie",,,FALSE,C1971401,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20080101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/J3415,"Injection, pyridoxine hcl, 100 mg",,,FALSE,C1314422,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20040101,0,O1E=Other drugs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9136,"Oncology; disease status; non-hodgkin's lymphoma, transformed from original cellular diagnosis to a second cellular classification (for use in a medicare-approved demonstration project)",,,FALSE,C1971328,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V2781,"Progressive lens, per lens",,,FALSE,C0520171,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19960101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2865,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg",,,FALSE,C5979735,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,D=Special coverage instructions apply,20250401,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S4995,Smoking cessation gum,,,FALSE,C1145328,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4990-S5014,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/G0296,Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making),,,FALSE,C4067419,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20150205,0,M6=Consultations,C=Carrier judgment,20150205,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1174,Patient received at least two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the patient's 50th birthday before or during the measurement period,,,FALSE,C5884118,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1386,"Patients with an excisional surgery for melanoma or melanoma in situ in the past 5 years with an initial ajcc staging of 0, i, or ii at the start of the performance period",,,FALSE,C5974334,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0197,"Air pressure pad for mattress, standard mattress length and width",,,FALSE,C0520103,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0181-E0199,N=No maintenance for this code,20160701,0,D1E=Other DME,D=Special coverage instructions apply,19910101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5265,"Ear mold/insert, disposable, any type",,,FALSE,C0994314,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0157,"Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes",,,FALSE,C2958939,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20110101,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9361,"Medical indication for delivery by cesarean birth or induction of labor (<39 weeks of gestation) [documentation of reason(s) for elective delivery (e.g., hemorrhage and placental complications, hypertension, preeclampsia and eclampsia, rupture of membranes (premature or prolonged), maternal conditions complicating pregnancy/delivery, fetal conditions complicating pregnancy/delivery, late pregnancy, prior uterine surgery, or participation in clinical trial)]",,,FALSE,C3871280,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A9156,"Oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 ml",,,FALSE,C5883952,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20231001,0,Z2=Undefined codes,D=Special coverage instructions apply,20231001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2079,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J7179,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco",,,FALSE,C4316099,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20170101,0,O1E=Other drugs,D=Special coverage instructions apply,20170101,,,A=Not applicable as HCPCS priced under one methodology,,20170101,,YY,51=Drugs,"0211=PUB 100-4, CH 17, SEC 80.4.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9648,Patients with 90 day mrs score greater than 2,,,FALSE,C4067566,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,Prosthetic Procedures - Additions to Upper Limb,,,FALSE,C0813099,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9918,"Functional status not performed, reason not otherwise specified",,,FALSE,C4542748,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9482,"Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: an expanded problem focused history; an expanded problem focused examination; straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of low to moderate severity. typically, 20 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology",,,FALSE,C4316257,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20160401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0206=THIS SERVICE IS PART OF A DEMONSTRATION PROJECT.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J8501,"Aprepitant, oral, 5 mg",,,FALSE,C1509027,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,N=No maintenance for this code,20190101,0,O1E=Other drugs,D=Special coverage instructions apply,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,0119=SEE NCDM REFERENCE 110.17.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K0045,"Footrest, complete assembly, replacement only, each",,,FALSE,C0499204,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/L2090,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated",,,FALSE,C0499546,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2040-L2090,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19840101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9280,"Pneumococcal vaccination not administered prior to discharge, reason not specified",,,FALSE,C3710384,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/B4100,"Food thickener, administered orally, per ounce",,,FALSE,C1145011,http://purl.bioontology.org/ontology/STY/T120,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4100-B4162,N=No maintenance for this code,20050101,0,Z2=Undefined codes,M=Non-covered by Medicare,20030101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T120
http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20J0100-J9999,J Codes - Drugs,,,FALSE,C2729342,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/MTHU000323,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/G9821,No documentation of a chlamydia screening test with proper follow-up,,,FALSE,C4316137,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J7313,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg",,,FALSE,C5229164,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7311-J7316,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/T2005,Non-emergency transportation; stretcher van,,,FALSE,C1145381,http://purl.bioontology.org/ontology/STY/T057,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20040701,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T057
http://purl.bioontology.org/ontology/HCPCS/E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure",,,FALSE,C0498484,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0650-E0677,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19880101,60-16,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T2003,Non-emergency transportation; encounter/trip,,,FALSE,C1145379,http://purl.bioontology.org/ontology/STY/T057,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T057
http://purl.bioontology.org/ontology/HCPCS/C9782,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial transplantation of autologous bone marrow cells (e.g., mononuclear) or placebo control, autologous bone marrow harvesting and preparation for transplantation, left heart catheterization including ventriculography, all laboratory services, and all imaging with or without guidance (e.g., transthoracic echocardiography, ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study",,,FALSE,C5771576,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20220401,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20220401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7324,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose",,,FALSE,C1971349,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7318-J7329,N=No maintenance for this code,20080101,0,O1E=Other drugs,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0078,"Injection, fosphenytoin sodium, 750 mg",,,FALSE,C0812792,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0216,"Injection, alfentanil hydrochloride, 500 micrograms",,,FALSE,C5884024,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0553,"First 20 minutes of monthly treatment management services directly related to the patient's therapeutic use of the digital mental health treatment (dmht) device that augments a behavioral therapy plan, physician/other qualified health care professional time reviewing information related to the use of the dmht device, including patient observations and patient specific inputs in a calendar month and requiring at least one interactive communication with the patient/caregiver during the calendar month",,,FALSE,C5974186,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1423,Optimal care for patients with urologic conditions mips value pathway,,,FALSE,C5974370,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/P9022,"Red blood cells, washed, each unit",,,FALSE,C0500250,http://purl.bioontology.org/ontology/STY/T031,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,19870101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,19870101,,,A=Not applicable as HCPCS priced under one methodology,2455A,,,,52=Reasonable charge,,,"0=Whole blood only eff 01/96, whole blood or packed red cells before 01/96",,,,http://purl.bioontology.org/ontology/STY/T031
http://purl.bioontology.org/ontology/HCPCS/A5071,"Ostomy pouch, urinary; with barrier attached (1 piece), each",,,FALSE,C0497948,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5051-A5093,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0629,"Seat lift mechanism, non-electric, any type",,,FALSE,C0498480,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0621-E0642,N=No maintenance for this code,20170101,0,D1E=Other DME,D=Special coverage instructions apply,19920101,,,A=Not applicable as HCPCS priced under one methodology,4107.8,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H0028,"Alcohol and/or drug prevention problem identification and referral service (e.g., student assistance and employee assistance programs), does not include assessment",,,FALSE,C0919064,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4152,"Dermapure, per square centimeter",,,FALSE,C3871390,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20150101,0,O1E=Other drugs,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/S5181,"Home health respiratory therapy, nos, per diem",,,FALSE,C1314581,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L4000,Replace girdle for spinal orthosis (ctlso or so),,,FALSE,C0499798,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4000-L4210,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1203,"Injection, cipaglucosidase alfa-atga, 5 mg",,,FALSE,C5974241,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,20240401,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4383,"Ostomy pouch, urinary, for use on faceplate, rubber, each",,,FALSE,C0812611,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0983,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control",,,FALSE,C1314312,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M0224,"Intravenous infusion, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, includes infusion and post administration monitoring",,,FALSE,C5974306,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240322,0,O1G=Immunizations/Vaccinations,C=Carrier judgment,20240322,,,A=Not applicable as HCPCS priced under one methodology,,,,,54=Vaccinations,,,"V=Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/H1002,"Prenatal care, at risk enhanced service; care coordination",,,FALSE,C0993932,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0184,"Injection, amisulpride, 1 mg",,,FALSE,C5884021,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2179,Clinician documented that patient had medical reason for not performing lower extremity neurological exam,,,FALSE,C5439693,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L3257,"Orthopedic footwear, additional charge for split size",,,FALSE,C0499684,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19880101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9326,"Home infusion therapy, continuous (twenty-four hours or more) pain management infusion; administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994211,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0159,"Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes",,,FALSE,C2958941,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20110101,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0958,"Manual wheelchair accessory, one-arm drive attachment, each",,,FALSE,C0498540,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S5517,"Home infusion therapy, all supplies necessary for restoration of catheter patency or declotting",,,FALSE,C0994156,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5497-S5523,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9886,"Behavioral counseling for diabetes prevention, in-person, group, 60 minutes",,,FALSE,C5884014,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20240101,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8000-L8039,Prosthetic Procedures - Breast Prostheses,,,FALSE,C3871226,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L7700-L8499,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3370,"Sole wedge, between sole",,,FALSE,C0499696,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3340-L3420,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8559,Patient referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation,,,FALSE,C2729201,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20100101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9911,Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer before or after neoadjuvant systemic therapy,,,FALSE,C4542742,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3977,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment",,,FALSE,C1616338,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3975-L3978,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5790,"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)",,,FALSE,C0499951,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5785-L5795,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9046,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg",,,FALSE,C5771637,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240701,0,O1D=Chemotherapy,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7648,"Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram",,,FALSE,C0520207,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1877,"Stent, non-coated/non-covered, without delivery system",,,FALSE,C0993782,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0007,Extra heavy duty wheelchair,,,FALSE,C0499168,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,19940101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H0032,Mental health service plan development by non-physician,,,FALSE,C1145165,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q5115,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",,,FALSE,C5229218,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20190701,0,O1D=Chemotherapy,D=Special coverage instructions apply,20190701,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9118,"Injection, calaspargase pegol-mknl, 10 units",,,FALSE,C5229172,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20191001,0,O1D=Chemotherapy,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6258,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",,,FALSE,C0520066,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0520,"Management of new patient-caregiver dyad with dementia, moderate complexity, for use in cmmi model",,,FALSE,C5974153,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0519-G0531,N=No maintenance for this code,20240701,0,Z2=Undefined codes,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J7050,"Infusion, normal saline solution, 250 cc",,,FALSE,C0499048,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4236,"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each",,,FALSE,C1616862,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4233-A4236,N=No maintenance for this code,20160101,0,D1E=Other DME,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0732,"Cranial electrotherapy stimulation (ces) system, any type",,,FALSE,C5771648,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20240101,0,D1E=Other DME,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0915,Improvement in visual function not achieved within 90 days following cataract surgery,,,FALSE,C3248430,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0913-G0918,N=No maintenance for this code,20120101,0,M5D=Specialist - other,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L1710,"Legg perthes orthosis, (newington type), custom fabricated",,,FALSE,C0499495,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1700-L1755,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/B4081,Nasogastric tubing with stylet,,,FALSE,C0497982,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4034-B4088,N=No maintenance for this code,20020101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19860101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4358,"Xwrap dual, per square centimeter",,,FALSE,C5979761,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L3570,"Orthopedic shoe addition, special extension to instep (leather with eyelets)",,,FALSE,C0499718,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3500-L3595,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6522,"Gradient compression garment, arm, padded, for nighttime use, each",,,FALSE,C5883885,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0119,"Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code)",,,FALSE,C3248676,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20120101,0,Z2=Undefined codes,I=Not payable by Medicare,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1221,Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of retinopathy,,,FALSE,C5884127,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A9282,"Wig, any type, each",,,FALSE,C1616801,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20060101,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861SSA,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0101-G0106,Screening Services,,,FALSE,C5228953,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/B4178,"Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - home mix",,,FALSE,C0497990,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4164-B5200,N=No maintenance for this code,20020101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19880101,65-10,,A=Not applicable as HCPCS priced under one methodology,2130|4450,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/G9243,Documentation of viral load less than 200 copies/ml,,,FALSE,C3710347,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2203,"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches",,,FALSE,C1314335,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,Medical and Surgical Supplies - Dressings,,,FALSE,C0812890,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2280,"Addition to lower extremity, molded inner boot",,,FALSE,C0499578,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S4025,"Donor services for in vitro fertilization (sperm or embryo), case rate",,,FALSE,C0994139,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4468,"Exsufflation belt, includes all supplies and accessories",,,FALSE,C5574582,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20240101,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1834(A)(3),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0493,"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by phone application, 90-day supply",,,FALSE,C5771651,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20240101,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8655,"Residual score for the lower leg, foot or ankle impairment successfully calculated and the score was equal to zero (0) or greater than zero ( > 0)",,,FALSE,C4746329,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2515,"Injection, pentobarbital sodium, per 50 mg",,,FALSE,C0498957,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0572,"Aerosol compressor, adjustable pressure, light duty for intermittent use",,,FALSE,C0918990,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0550-E0585,N=No maintenance for this code,20010101,0,D1E=Other DME,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0162,"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",,,FALSE,C3248665,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0138-Q0249,N=No maintenance for this code,20120101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,4557,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S8301,"Infection control supplies, not otherwise specified",,,FALSE,C1509097,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20040701,0,Z2=Undefined codes,I=Not payable by Medicare,20040701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/S8030,Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy,,,FALSE,C0994162,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8030-S8092,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1313,Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period,,,FALSE,C5849204,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4605,"Tracheal suction catheter, closed system, each",,,FALSE,C1508835,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20050101,0,D1E=Other DME,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7516,"Injection, cyclosporine, 250 mg",,,FALSE,C0812746,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,G=Immunosuppressive drugs|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E2397,"Power wheelchair accessory, lithium-based battery, each",,,FALSE,C1971046,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20080101,0,D1D=Wheelchairs,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0801,"Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds",,,FALSE,C1741947,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H0013,Alcohol and/or drug services; acute detoxification (residential addiction program outpatient),,,FALSE,C0919049,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q5107,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",,,FALSE,C4746504,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20190101,0,O1E=Other drugs,D=Special coverage instructions apply,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0187=PUB. 100-4, CHAPTER 17.",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8755,Most recent diastolic blood pressure >= 90 mmhg,,,FALSE,C2729233,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0535,"Patient navigational services, provided directly or by referral; including helping the patient to navigate health systems and identify care providers and supportive services, to build patient self-advocacy and communication skills with care providers, and to promote patient-driven action plans and goals; each additional 30 minutes of services (provision of the services by a medicare-enrolled opioid treatment program); (list separately in addition to each primary code)",,,FALSE,C5974168,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J2543,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",,,FALSE,C0812740,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20010101,0,O1E=Other drugs,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C7534,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation",,,FALSE,C5771548,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20240101,0,P2F=Major procedure - cardiovascular - Other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0580,"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter",,,FALSE,C0498466,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0550-E0585,N=No maintenance for this code,19980101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,4107.9,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7521,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report",,,FALSE,C5771535,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P2F=Major procedure - cardiovascular - Other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G9070,"Oncology; disease status; small cell lung cancer, limited to small cell and combined small cell/non-small; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)",,,FALSE,C1617340,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2295,"Manual wheelchair accessory, for pediatric size wheelchair, dynamic seating frame, allows coordinated movement of multiple positioning features",,,FALSE,C2368402,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20090101,0,D1D=Wheelchairs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4398,"Ostomy irrigation supply; bag, each",,,FALSE,C0497849,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19890101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4356,"Abiomend membrane and abiomend hydromembrane, per square centimeter",,,FALSE,C5979759,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E2376,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only",,,FALSE,C1739978,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9873,First medicare diabetes prevention program (mdpp) core session was attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an mdpp supplier during months 1 through 6 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for core sessions,,,FALSE,C4746386,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180401,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20180401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L2270,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad",,,FALSE,C0499576,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S0108,"Mercaptopurine, oral, 50 mg",,,FALSE,C1145303,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9094,"Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)",,,FALSE,C1617343,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",,,FALSE,C0498464,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0550-E0585,N=No maintenance for this code,19820101,0,D1E=Other DME,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2500-E2599,Speech Generating Devices,,,FALSE,C2368626,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2621,"Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware",,,FALSE,C1508945,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2601-E2621,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0638,"Standing frame/table system, one position (e.g., upright, supine or prone stander), any size including pediatric, with or without wheels",,,FALSE,C1314304,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0621-E0642,N=No maintenance for this code,20120101,0,D1E=Other DME,M=Non-covered by Medicare,20040101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3935,"Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment",,,FALSE,C1619400,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9147,"Outpatient intravenous insulin treatment (oivit) either pulsatile or continuous, by any means, guided by the results of measurements for: respiratory quotient; and/or, urine urea nitrogen (uun); and/or, arterial, venous or capillary glucose; and/or potassium concentration",,,FALSE,C2959223,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9147-G9147,N=No maintenance for this code,20091223,0,P5E=Ambulatory procedures - other,M=Non-covered by Medicare,20091223,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0172=SERVICE IS NON-COVERED BY NCD 40.7.,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G8421,Bmi not documented and no reason is given,,,FALSE,C1971263,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20140101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9037,Interprofessional telephone/internet/electronic health record clinical question/request for specialty recommendations by a treating/requesting physician or other qualified health care professional for the care of the patient (i.e. not for professional education or scheduling) and may include subsequent follow up on the specialist's recommendations; 30 minutes,,,FALSE,C5974200,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20240701,0,Z2=Undefined codes,C=Carrier judgment,20240701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L8694,"Auditory osseointegrated device, transducer/actuator, replacement only, each",,,FALSE,C4542801,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8690-L9900,N=No maintenance for this code,20180101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8684,"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement",,,FALSE,C0993863,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8678-L8689,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20060101,65-8,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0222,"Injection, patisiran, 0.1 mg",,,FALSE,C4722149,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,20191001,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5250-L5270,Prosthetic Procedures - Hip Disarticulation,,,FALSE,C0813067,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0610,"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems)",,,FALSE,C0498474,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0607-E0620,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,50-1|60-7,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A5056,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each",,,FALSE,C3248705,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5051-A5093,N=No maintenance for this code,20120101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20120101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0265,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress",,,FALSE,C0498418,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19910101,0,D1B=Hospital beds,D=Special coverage instructions apply,19860101,60-18,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/STY/T013,Fish,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T010,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T016,Human,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T015,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T015,Mammal,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T010,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T014,Reptile,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T010,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T011,Amphibian,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T010,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T010,Vertebrate,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T008,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T019,Congenital Abnormality,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T190,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T017,Anatomical Structure,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T072,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T018,Embryonic Structure,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T017,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T012,Bird,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T010,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/HCPCS/G9822,Patients who had an endometrial ablation procedure during the 12 months prior to the index date (exclusive of the index date),,,FALSE,C4316136,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/E0585,"Nebulizer, with compressor and heater",,,FALSE,C0498467,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0550-E0585,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,4107.9,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9000,"Injection, doxorubicin hydrochloride, 10 mg",,,FALSE,C0499100,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6205,"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm",,,FALSE,C0500001,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6200-L6205,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4006,"Cast supplies, long arm cast, adult (11 years +), fiberglass",,,FALSE,C0994001,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9768,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure),,,FALSE,C5439655,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20201001,0,P8B=Endoscopy - upper gastrointestinal,D=Special coverage instructions apply,20201001,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),2=Surgery|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/E1635,Compact (portable) travel hemodialyzer system,,,FALSE,C0498665,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3390,Outflare wedge,,,FALSE,C0499698,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3340-L3420,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1320,"Thoracic, pectus carinatum orthosis, sternal compression, rigid circumferential frame with anterior and posterior rigid pads, custom fabricated",,,FALSE,C5974298,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1300-L1499,N=No maintenance for this code,20240401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4048,"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass",,,FALSE,C0994043,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9471,"Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not ordered or documented",,,FALSE,C3871361,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S9340,"Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem",,,FALSE,C0994220,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2795,"Addition to lower extremity orthosis, knee control, full kneecap",,,FALSE,C0499629,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2750-L2999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C2625,"Stent, non-coronary, temporary, with delivery system",,,FALSE,C0993812,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2617-C2631,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T1015,"Clinic visit/encounter, all-inclusive",,,FALSE,C0994289,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",,,FALSE,C3710525,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3806-L3904,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1209,"At least two orders for high-risk medications from the same drug class, (table 4), without appropriate diagnoses",,,FALSE,C5702961,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0065,Chiropractic medicine mips specialty set,,,FALSE,C5574490,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4670,Automatic blood pressure monitor,,,FALSE,C0497901,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20030101,0,P9B=Dialysis services (Non-Medicare fee schedule),M=Non-covered by Medicare,19860101,50-42,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0194,Air fluidized bed,,,FALSE,C0179267,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0181-E0199,N=No maintenance for this code,19910101,0,D1E=Other DME,D=Special coverage instructions apply,19910101,60-19,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),"0013=THIS DEVICE (E0194) SHOULD NOT BE CONFUSED WITH E0193 POWERED FLOTATION THERAPY BED (LOW AIR LOSS BED). SEE CIM TRANS. NO. 44, JULY 1990.",,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1759,"Catheter, intracardiac echocardiography",,,FALSE,C0993751,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1031,"Rollabout chair, any and all types with casters 5"" or greater",,,FALSE,C0498571,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1031-E1039,N=No maintenance for this code,19900101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19900101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/C1772,"Infusion pump, programmable (implantable)",,,FALSE,C0520112,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6360,"Interscapular thoracic, passive restoration (complete prosthesis)",,,FALSE,C0500007,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6350-L6370,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V5287,"Assistive listening device, personal fm/dm receiver, not otherwise specified",,,FALSE,C3534647,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5268-V5290,N=No maintenance for this code,20130101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862a7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1108,"Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record",,,FALSE,C5203705,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L2134,"Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment",,,FALSE,C0499559,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2106-L2136,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0795,"Injection, corticorelin ovine triflutate, 1 microgram",,,FALSE,C1617858,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,0095=AS REQUIRED BY BBRA SECTION 201.,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A7002,"Tubing, used with suction pump, each",,,FALSE,C0812623,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20000101,0,D1E=Other DME,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0762,"Transcutaneous electrical joint stimulation device system, includes all accessories",,,FALSE,C1618398,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20060101,0,D1E=Other DME,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P9040,"Red blood cells, leukocytes reduced, irradiated, each unit",,,FALSE,C0919120,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20010101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2455,,,,52=Reasonable charge,,,"0=Whole blood only eff 01/96, whole blood or packed red cells before 01/96",,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/G9429,"Documentation of medical reason(s) for not including pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors (e.g., negative skin biopsies, insufficient tissue, or other documented medical reasons)",,,FALSE,C4746348,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A5120,"Skin barrier, wipes or swabs, each",,,FALSE,C1616353,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5102-A5200,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2034,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated",,,FALSE,C1621012,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2000-L2038,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0055,Advancing care for heart disease mips value pathways,,,FALSE,C5574480,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q9966,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml",,,FALSE,C1971371,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9950-Q9969,N=No maintenance for this code,20080101,0,I1E=Standard imaging - nuclear medicine,D=Special coverage instructions apply,20080101,,,A=Not applicable as HCPCS priced under one methodology,15022,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/J1212,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml",,,FALSE,C0498846,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20170101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,45-23,,A=Not applicable as HCPCS priced under one methodology,2049,20170101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0270,"Physician management of patient home care, standard monthly case rate (per 30 days)",,,FALSE,C1971373,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20070401,0,Z2=Undefined codes,I=Not payable by Medicare,20070401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L8624,"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each",,,FALSE,C1621011,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8608-L8629,N=No maintenance for this code,20180101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9698,"Documentation of system reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., cost of treatment or lack of insurance)",,,FALSE,C4316231,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5684,"Addition to lower extremity, below knee, fork strap",,,FALSE,C0499921,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J3031,"Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)",,,FALSE,C5229161,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,20191001,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2094,"Documentation of patient reason(s) for not prescribing ace inhibitor or arb or arni therapy (e.g., patient declined, other patient reasons)",,,FALSE,C5229081,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J9190,"Injection, fluorouracil, 500 mg",,,FALSE,C0499130,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q5148,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram",,,FALSE,C5979772,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,D=Special coverage instructions apply,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0187=PUB. 100-4, CHAPTER 17.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4617,Mouth piece,,,FALSE,C0497878,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4611-A4629,N=No maintenance for this code,20090101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19900101,60-4,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),3312,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4121,"Theraskin, per square centimeter",,,FALSE,C2959322,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/S0092,"Injection, hydromorphone hydrochloride, 250 mg (loading dose for infusion pump)",,,FALSE,C0994051,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0136,"Clozapine, 25 mg",,,FALSE,C1314711,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G6012,"Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev",,,FALSE,C0373376,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G6003-G6017,N=No maintenance for this code,20150101,0,P7A=Oncology - radiation therapy,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4266,Diaphragm for contraceptive use,,,FALSE,C0042241,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1825,"Generator, neurostimulator (implantable), non-rechargeable with carotid sinus baroreceptor stimulation lead(s)",,,FALSE,C5439630,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20240101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20210101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0527,"Management of established patient with dementia, low complexity, for use in cmmi model",,,FALSE,C5974160,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0519-G0531,N=No maintenance for this code,20240701,0,Z2=Undefined codes,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4179,"Flowerderm, per square centimeter",,,FALSE,C4542810,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A4737,"Injectable anesthetic, for dialysis, per 10 ml",,,FALSE,C0993697,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4379,"Ostomy pouch, urinary, with faceplate attached, plastic, each",,,FALSE,C0812607,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,Catheters,,,FALSE,C0085590,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20C1000-C9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1980,"Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated",,,FALSE,C0499531,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1900-L1990,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9699,"Long-acting inhaled bronchodilator not prescribed, reason not otherwise specified",,,FALSE,C4316230,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4153,"Dermavest and plurivest, per square centimeter",,,FALSE,C4067624,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20160101,0,O1E=Other drugs,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L8690,"Auditory osseointegrated device, includes all internal and external components",,,FALSE,C1739997,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8690-L9900,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4151,"Amnioband or guardian, per square centimeter",,,FALSE,C3871389,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20150101,0,O1E=Other drugs,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L3203,"Orthopedic shoe, oxford with supinator or pronator, junior",,,FALSE,C0499657,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6689,"Upper extremity addition, frame type socket, shoulder disarticulation",,,FALSE,C0500057,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9637,"Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)",,,FALSE,C4746368,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E1090,"High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable foot rests",,,FALSE,C0498584,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1087-E1090,N=No maintenance for this code,20010401,0,D1D=Wheelchairs,I=Not payable by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,K0004,,http://purl.bioontology.org/ontology/HCPCS/K0004,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4264,"Cocoon membrane, per square centimeter",,,FALSE,C5771721,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230101,0,O1E=Other drugs,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/H0031,"Mental health assessment, by non-physician",,,FALSE,C1145164,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A9592,"Copper cu-64, dotatate, diagnostic, 1 millicurie",,,FALSE,C5551233,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20210401,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/L5312,"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system",,,FALSE,C3248662,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5301-L5341,N=No maintenance for this code,20120101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1730,"Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer electrodes)",,,FALSE,C0993740,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0740,"Repair or nonroutine service for oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",,,FALSE,C2729289,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0669-K0746,N=No maintenance for this code,20090401,0,D1C=Oxygen and supplies,M=Non-covered by Medicare,20090401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0157=MEDICARE BENEFIT POLICY MANUAL, PUB 100.02, CHAPTER 15, SECTION 110.2.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4118,"Matristem micromatrix, 1 mg",,,FALSE,C2959319,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J1245,"Injection, dipyridamole, per 10 mg",,,FALSE,C0498849,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19980101,0,O1E=Other drugs,D=Special coverage instructions apply,19930101,,,A=Not applicable as HCPCS priced under one methodology,2049|15030,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G4020,Ophthalmology/optometry mips specialty set,,,FALSE,C5574523,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K0826,"Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds",,,FALSE,C1741949,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4224,"Supplies for maintenance of insulin infusion catheter, per week",,,FALSE,C4316288,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,20170101,0,D1E=Other DME,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T1032,"Services performed by a doula birth worker, per 15 minutes",,,FALSE,C5771726,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20221001,0,Z2=Undefined codes,I=Not payable by Medicare,20221001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",,,FALSE,C0498506,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,19970101,0,D1E=Other DME,D=Special coverage instructions apply,19960101,35-48,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1159,Hospice services provided to patient any time during the measurement period,,,FALSE,C5703404,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/K0836,"Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds",,,FALSE,C1742218,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0660,"Non-segmental pneumatic appliance for use with pneumatic compressor, full leg",,,FALSE,C0498487,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0650-E0677,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-16,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,Ventricular Assist Devices (CMS Temporary Codes),,,FALSE,C4316301,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3980-L3999,Fracture Orthotics: Upper Extremity,,,FALSE,C5228973,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L3650-L3999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T1503,"Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit",,,FALSE,C1971384,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20070401,0,Z2=Undefined codes,I=Not payable by Medicare,20070401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9487,"Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of low to moderate severity. typically, 15 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology",,,FALSE,C4316252,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20160401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0206=THIS SERVICE IS PART OF A DEMONSTRATION PROJECT.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L6686,"Upper extremity addition, suction socket",,,FALSE,C0500054,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4321,"Renograft, per square centimeter",,,FALSE,C5974398,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A9269,"Programable, transient, orally ingested capsule, for use with external programmer, per month",,,FALSE,C5883954,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20231001,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20231001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0607,"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)",,,FALSE,C5974225,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7311,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg",,,FALSE,C5229163,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7311-J7316,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S9098,"Home visit, phototherapy services (e.g., bili-lite), including equipment rental, nursing services, blood draw, supplies, and other services, per diem",,,FALSE,C0994197,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20L0000-L9999,L Codes,,,FALSE,C0919280,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/MTHU000323,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/M1146,"Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record",,,FALSE,C5401257,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4220,Refill kit for implantable infusion pump,,,FALSE,C0497787,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,19980303,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19940101,60-14,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,"0050=THIS CODE MUST INCLUDE NON-CORING NEEDLES, PRESSURE MONITOR WITH STOPCOCK AND TEMPLATES. CARRIERS SHOULD NOT ALLOW SEPARATE PAYMENT FOR THIS CODE AND FOR A4212.",,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q5125,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram",,,FALSE,C5771722,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20221001,0,O1E=Other drugs,C=Carrier judgment,20221001,,,A=Not applicable as HCPCS priced under one methodology,,20221001,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4111,"Gammagraft, per square centimeter",,,FALSE,C2959313,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf",,,FALSE,C3710494,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0643-L0651,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4257,"Replacement lens shield cartridge for use with laser skin piercing device, each",,,FALSE,C0993674,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20020101,0,D1E=Other DME,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2308,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens",,,FALSE,C0500365,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/P9056,"Whole blood, leukocytes reduced, irradiated, each unit",,,FALSE,C1314482,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20040101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,1833T,"0=Whole blood only eff 01/96, whole blood or packed red cells before 01/96",,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/G0473,"Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes",,,FALSE,C3871275,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0471-G0476,N=No maintenance for this code,20150101,0,M1B=Office visits - established,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4434,"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each",,,FALSE,C1314236,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1179,"Patient did not receive any pneumococcal conjugate or polysaccharide vaccine, on or after their 19th birthday and before or during measurement period",,,FALSE,C5771685,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J7505,"Muromonab-cd3, parenteral, 5 mg",,,FALSE,C0520150,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20190101,0,O1E=Other drugs,D=Special coverage instructions apply,19880101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,G=Immunosuppressive drugs|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6556,"Gradient compression stocking, thigh length, 18-30 mmhg, custom, each",,,FALSE,C5883898,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9065,"Injection, cladribine, per 1 mg",,,FALSE,C0499110,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,19970101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9318,"Injection, romidepsin, non-lyophilized, 0.1 mg",,,FALSE,C5574570,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20211001,0,O1D=Chemotherapy,C=Carrier judgment,20211001,,,A=Not applicable as HCPCS priced under one methodology,,20211001,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L4210,"Repair of orthotic device, repair or replace minor parts",,,FALSE,C0499815,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4000-L4210,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,2133|2130D|2100.4,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5210,"Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each",,,FALSE,C0499833,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5200-L5230,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9422,"Primary lung carcinoma resection report documents pt category, pn category and for non-small cell lung cancer, histologic type (e.g., squamous cell carcinoma, adenocarcinoma and not nsclc-nos)",,,FALSE,C4083276,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9004,"Coordinated care fee, risk adjusted low, initial",,,FALSE,C0919031,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9001-G9012,N=No maintenance for this code,20001001,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20001001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0097=FOR INSTRUCTIONS RELATED TO THE MEDICARE COORDINATED CARE DEMONSTRATION (MCCD) SEF CR1050, 1116 AND 1118.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6533,"Gradient compression stocking, thigh length, 18-30 mmhg, each",,,FALSE,C0500154,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8505,"Artificial larynx replacement battery / accessory, any type",,,FALSE,C0993987,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8500-L8515,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1180,"Injection, dyphylline, up to 500 mg",,,FALSE,C0498842,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1114,"Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery",,,FALSE,C5203740,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3160,"Foot, adjustable shoe-styled positioning device",,,FALSE,C0499653,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3140-L3170,N=No maintenance for this code,19950101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/H0051,Traditional healing service,,,FALSE,C5974209,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20240401,0,Z2=Undefined codes,I=Not payable by Medicare,20240401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8846,Moderate or severe obstructive sleep apnea (apnea hypopnea index (ahi) or respiratory disturbance index (rdi) of 15 or greater),,,FALSE,C3248581,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J2249,"Injection, remimazolam, 1 mg",,,FALSE,C5884065,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0378-G0384,Hospital Services: Observation and Emergency Department,,,FALSE,C4542580,http://purl.bioontology.org/ontology/STY/T093,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T093
http://purl.bioontology.org/ontology/HCPCS/C1839,Iris prosthesis,,,FALSE,C5229001,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20230101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),F=Ambulatory surgical center (facility usage for surgical services)|9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8475,"Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy not prescribed, reason not given",,,FALSE,C1971313,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E1240,"Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest",,,FALSE,C0498615,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1240-E1270,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E8002,"Gait trainer, pediatric size, anterior support, includes all accessories and components",,,FALSE,C1508948,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E8000-E8002,N=No maintenance for this code,20050101,0,Z2=Undefined codes,I=Not payable by Medicare,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7549,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",,,FALSE,C5771562,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20250101,0,P6C=Minor procedures - other (Medicare fee schedule),C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4335,Incontinence supply; miscellaneous,,,FALSE,C0497827,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,19900101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9068,"Oncology; disease status; limited to small cell and combined small cell/non-small cell; extent of disease initially established as limited with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1618365,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7330-J7402,Miscellaneous Drugs,,,FALSE,C0301555,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J0100-J8999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/J0565,"Injection, bezlotoxumab, 10 mg",,,FALSE,C4542693,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,20180101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0157,"Crutch attachment, walker, each",,,FALSE,C0498369,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0156-E0159,N=No maintenance for this code,19960101,0,D1E=Other DME,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4293,"Acesso dl, per square centimeter",,,FALSE,C5884261,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",,,FALSE,C4316071,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,20170101,0,D1E=Other DME,D=Special coverage instructions apply,20170101,,,A=Not applicable as HCPCS priced under one methodology,60-14,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",,,FALSE,C3710502,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6684,"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic",,,FALSE,C0500053,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9012,Other specified case management service not elsewhere classified,,,FALSE,C0993929,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9001-G9012,N=No maintenance for this code,20011001,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20011001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0096=SERVICE REPRESENTED BY G9106 IS REPORTABLE ONLY BY PARTICIPANTS IN THE SMOKING CESSATION COUNSELING DEMONSTRATION PROJECT.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1574,"Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg",,,FALSE,C5771617,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8659,Residual score for the low back impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0),,,FALSE,C4746333,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S0178,"Lomustine, oral, 10 mg",,,FALSE,C0994062,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9001-Q9004,Veteran Services Chaplain,,,FALSE,C5439620,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9688,Patients using hospice services any time during the measurement period,,,FALSE,C4283832,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C9899,"Implanted prosthetic device, payable only for inpatients who do not have inpatient coverage",,,FALSE,C2368667,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20090101,0,Z2=Undefined codes,D=Special coverage instructions apply,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6261,"Wound filler, gel/paste, per fluid ounce, not otherwise specified",,,FALSE,C0520069,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20110101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6250-L6250,Prosthetic Procedures - Above Elbow,,,FALSE,C0813090,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1411,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose",,,FALSE,C5884047,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230401,0,O1E=Other drugs,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1057,"Aspirin or another antiplatelet therapy not used, reason not given",,,FALSE,C4722291,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L1840,"Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated",,,FALSE,C0499508,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9209,"Injection, mesna, 200 mg",,,FALSE,C0499134,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",,,FALSE,C0497981,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4034-B4088,N=No maintenance for this code,20110101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19860101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0706,"Injection, caffeine citrate, 5 mg",,,FALSE,C0993937,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20020101,0,O1E=Other drugs,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J3350,"Injection, urea, up to 40 gm",,,FALSE,C0499021,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",,,FALSE,C4067417,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20160101,0,D1E=Other DME,D=Special coverage instructions apply,20160101,,,A=Not applicable as HCPCS priced under one methodology,60-9,,,,31=Frequently serviced DME (price subject to floors and ceilings),"0137=PUBLICATION 100-03, CHAPTER 1, SECTION 280.1 (100.03, 1, 280.1).",,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8908,Patient documented to have received a burn prior to discharge,,,FALSE,C3534793,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120401,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S9347,"Home infusion therapy, uninterrupted, long-term, controlled rate intravenous or subcutaneous infusion therapy (e.g., epoprostenol); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994226,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,Prosthetic Procedures - Lower Limb - Additions to Socket Insert and Suspension,,,FALSE,C0813080,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C7515,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with dialysis circuit permanent endovascular embolization or occlusion of main circuit or any accessory veins, including all required imaging, radiological supervision and interpretation, image documentation and report",,,FALSE,C5771529,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P6C=Minor procedures - other (Medicare fee schedule),C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4041,"Cast supplies, long leg splint, adult (11 years +), plaster",,,FALSE,C0994036,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q5140,"Injection, adalimumab-fkjp, biosimilar, 1 mg",,,FALSE,C5974438,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2710,"Injection, neostigmine methylsulfate, up to 0.5 mg",,,FALSE,C0498974,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7607,"Levalbuterol, inhalation solution, compounded product, administered through dme, concentrated form, 0.5 mg",,,FALSE,C1741405,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2804,"Injection, rifampin, 1 mg",,,FALSE,C5979734,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,D=Special coverage instructions apply,20250401,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0986,"Manual wheelchair accessory, push-rim activated power assist system",,,FALSE,C3871263,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20150101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2340,"Addition to lower extremity, pre-tibial shell, molded to patient model",,,FALSE,C0499584,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9007,Ultrafiltration monitor,,,FALSE,C0919214,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",,,FALSE,C1314232,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4074,"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms",,,FALSE,C2729369,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4074-Q4082,N=No maintenance for this code,20100101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C9047,"Injection, caplacizumab-yhdp, 1 mg",,,FALSE,C5229010,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20190701,0,O1E=Other drugs,D=Special coverage instructions apply,20190701,,,A=Not applicable as HCPCS priced under one methodology,,20190701,,YY,53=Statute,,1833(t),9=Other medical items or services|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0697,"Injection, sterile cefuroxime sodium, per 750 mg",,,FALSE,C0498796,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G4030,Pulmonology mips specialty set,,,FALSE,C5574533,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0601-S0622,Screening and Examinations,,,FALSE,C0281974,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20S0000-S9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/J7612,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg",,,FALSE,C1509021,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20090701,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2100.5,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1807,"Dynamic adjustable wrist extension only device, includes soft interface material",,,FALSE,C5974136,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20250101,0,D1E=Other DME,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9551,"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries",,,FALSE,C1616294,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/J9227,"Injection, isatuximab-irfc, 10 mg",,,FALSE,C5439755,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20201001,0,O1D=Chemotherapy,C=Carrier judgment,20201001,,,A=Not applicable as HCPCS priced under one methodology,,20201001,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K0885,"Power wheelchair, group 4 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds",,,FALSE,C1739994,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1730,"Injection, diazoxide, up to 300 mg",,,FALSE,C0498896,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0064,Certified nurse midwife mips specialty set,,,FALSE,C5574489,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C2635,"Brachytherapy source, non-stranded, high activity, palladium-103, greater than 2.2 mci (nist), per source",,,FALSE,C1617314,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2634-C2699,N=No maintenance for this code,20070701,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20050101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(T),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2365,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)",,,FALSE,C1314363,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2000,"Gastric suction pump, home model, portable or stationary, electric",,,FALSE,C0993878,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1902-E2120,N=No maintenance for this code,20020101,0,D1E=Other DME,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2850,"Injection, secretin, synthetic, human, 1 microgram",,,FALSE,C1617860,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20060101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J3590,Unclassified biologics,,,FALSE,C1145206,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20030101,0,O1E=Other drugs,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/A4211,Supplies for self-administered injections,,,FALSE,C0497782,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,19970101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19930101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2049,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P9046,"Infusion, albumin (human), 25%, 20 ml",,,FALSE,C0993992,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20020101,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q0164,"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",,,FALSE,C0694989,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0138-Q0249,N=No maintenance for this code,19980401,0,O1D=Chemotherapy,D=Special coverage instructions apply,19980401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,4557,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5795,"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)",,,FALSE,C0499952,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5785-L5795,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0183,"Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty",,,FALSE,C5765648,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0181-E0199,N=No maintenance for this code,20221001,0,D1E=Other DME,C=Carrier judgment,20221001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1239,"Power wheelchair, pediatric size, not otherwise specified",,,FALSE,C1508808,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1229-E1239,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T2030,"Assisted living, waiver; per month",,,FALSE,C1314630,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9675,Patients who have ever had a fasting or direct laboratory result of ldl-c = 190 mg/dl,,,FALSE,C4067590,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G2195,Patients with clinical indications for imaging of the head: occipital headache in children,,,FALSE,C5439708,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L5010,"Partial foot, molded socket, ankle height, with toe filler",,,FALSE,C0499824,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5000-L5020,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2323,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q2056,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose",,,FALSE,C5771711,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,N=No maintenance for this code,20221001,0,O1D=Chemotherapy,C=Carrier judgment,20221001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L0980,"Peroneal straps, prefabricated, off-the-shelf, pair",,,FALSE,C3710496,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0970-L0999,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9083,Global fee urgent care centers,,,FALSE,C0994196,http://purl.bioontology.org/ontology/STY/T093,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T093
http://purl.bioontology.org/ontology/HCPCS/G0318,"Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes)",,,FALSE,C5771588,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20230101,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0155,"Wheel attachment, rigid pick-up walker, per pair",,,FALSE,C0498367,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0130-E0155,N=No maintenance for this code,20000101,0,D1E=Other DME,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9784,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components",,,FALSE,C5883980,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20230701,0,P1G=Major procedure - other,D=Special coverage instructions apply,20230701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3677,"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710520,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3650-L3678,N=No maintenance for this code,20140101,0,Z2=Undefined codes,D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2130,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2251,"Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of clinical discussion",,,FALSE,C5439730,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,M5D=Specialist - other,C=Carrier judgment,20210101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A0225,"Ambulance service, neonatal transport, base rate, emergency transport, one way",,,FALSE,C0497732,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20030401,0,O1A=Ambulance,I=Not payable by Medicare,19850101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J9334,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc",,,FALSE,C5884107,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240101,0,O1D=Chemotherapy,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q5112,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg",,,FALSE,C5229215,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20231001,0,O1E=Other drugs,C=Carrier judgment,20190701,,,A=Not applicable as HCPCS priced under one methodology,,20231001,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1738,"Powered, single-use (i.e. disposable) endoscopic ultrasound-guided biopsy device",,,FALSE,C5974096,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20250101,0,P8I=Endoscopy - other,D=Special coverage instructions apply,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9097,Home visit for wound care,,,FALSE,C1616352,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20041001,0,Z2=Undefined codes,I=Not payable by Medicare,20041001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8511,"Screening for depression documented as positive, follow-up plan not documented, reason not given",,,FALSE,C2368446,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20170101,0,M5D=Specialist - other,C=Carrier judgment,20090101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0202,Phototherapy (bilirubin) light with photometer,,,FALSE,C0182262,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0200-E0239,N=No maintenance for this code,19960101,0,D1E=Other DME,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0433,"Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with or without supply reservoir and contents gauge",,,FALSE,C2729172,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20100101,0,D1C=Oxygen and supplies,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,,,,33=Oxygen and oxygen equipment (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6552,"Gradient compression stocking, below knee, 30-40 mmhg, each",,,FALSE,C0500152,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1690,"Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment",,,FALSE,C0694973,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1600-L1690,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19990101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S8426,"Gradient pressure aid (glove), custom made, heavy weight",,,FALSE,C0994186,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2768,"Orthotic side bar disconnect device, per bar",,,FALSE,C0993972,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2750-L2999,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8576,No postoperative renal failure/dialysis not required,,,FALSE,C2729218,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",,,FALSE,C3248646,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20130101,0,O1E=Other drugs,D=Special coverage instructions apply,20080101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L4100,"Replace leather cuff kafo, proximal thigh",,,FALSE,C0499810,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4000-L4210,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9242,Documentation of viral load equal to or greater than 200 copies/ml or viral load not performed,,,FALSE,C3710346,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L0830,"Halo procedure, cervical halo incorporated into milwaukee type orthosis",,,FALSE,C0499437,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0810-L0861,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4271,"Complete ft, per square centimeter",,,FALSE,C5884239,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230401,0,O1E=Other drugs,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A5102,"Bedside drainage bottle with or without tubing, rigid or expandable, each",,,FALSE,C0497956,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5102-A5200,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0506,Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service),,,FALSE,C4316263,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0502-G0507,N=No maintenance for this code,20170101,0,M5D=Specialist - other,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q5111,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg",,,FALSE,C4746507,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20230401,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L1950,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated",,,FALSE,C0499528,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1900-L1990,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1757,"Catheter, thrombectomy/embolectomy",,,FALSE,C0995127,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S5109,"Home care training to home care client, per session",,,FALSE,C1314555,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0200,"Heat lamp, without stand (table model), includes bulb, or infrared element",,,FALSE,C0498391,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0200-E0239,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S5126,Attendant care services; per diem,,,FALSE,C1314563,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L1085,"Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions",,,FALSE,C0499464,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1000-L1120,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4396,Ostomy belt with peristomal hernia support,,,FALSE,C0918311,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S5121,Chore services; per diem,,,FALSE,C1314561,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/H0025,"Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)",,,FALSE,C0919061,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3000-L3649,Orthotic Devices - Foot (Orthopedic Shoes),,,FALSE,C2729473,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1600-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2125,Patients 81 years of age and older with at least one claim/encounter for frailty during the six months prior to the measurement period through december 31 of the measurement period,,,FALSE,C5203728,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L5560,"Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model",,,FALSE,C0499857,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5510-L5600,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5631,"Addition to lower extremity, above knee or knee disarticulation, acrylic socket",,,FALSE,C0499878,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S2400,"Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero",,,FALSE,C0994114,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1756,"Catheter, pacing, transesophageal",,,FALSE,C0993749,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9547,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie",,,FALSE,C1618337,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,53=Statute,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/S2117,"Arthroereisis, subtalar",,,FALSE,C1617369,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20051001,0,Z2=Undefined codes,I=Not payable by Medicare,20051001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q2035,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)",,,FALSE,C2959298,http://purl.bioontology.org/ontology/STY/T129|http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,N=No maintenance for this code,20140101,0,O1G=Immunizations/Vaccinations,D=Special coverage instructions apply,20110101,,,A=Not applicable as HCPCS priced under one methodology,2049.4,,,,54=Vaccinations,,,"V=Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95",,,,http://purl.bioontology.org/ontology/STY/T129|http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/Q4024,"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass",,,FALSE,C0994019,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4139,"Amniomatrix or biodmatrix, injectable, 1 cc",,,FALSE,C3710561,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E1822,"Dynamic adjustable ankle extension only device, includes soft interface material",,,FALSE,C5974140,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20250101,0,D1E=Other DME,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S4017,"Incomplete cycle, treatment cancelled prior to stimulation, case rate",,,FALSE,C1145321,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L4055,"Replace non-molded calf lacer, for custom fabricated orthosis only",,,FALSE,C0499805,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4000-L4210,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9262,"Injection, omacetaxine mepesuccinate, 0.01 mg",,,FALSE,C3669273,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20140101,0,O1D=Chemotherapy,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,20140101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/T1028,"Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs",,,FALSE,C1145370,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0688,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg",,,FALSE,C5884033,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,D=Special coverage instructions apply,20240101,,,A=Not applicable as HCPCS priced under one methodology,2049,20250101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,Wound Care,,,FALSE,C3152828,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0303,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services",,,FALSE,C1314377,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20040101,0,T2D=Other tests - other,C=Carrier judgment,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J1630,"Injection, haloperidol, up to 5 mg",,,FALSE,C0498883,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6640,"Upper extremity additions, shoulder abduction joint, pair",,,FALSE,C0500039,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7632,"Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams",,,FALSE,C1971357,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20080101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",,,FALSE,C0918316,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20130101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1756,"Injection, iron sucrose, 1 mg",,,FALSE,C1145197,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20030101,0,O1E=Other drugs,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4450,"Tape, non-waterproof, per 18 square inches",,,FALSE,C1144925,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9490,"Cms innovation center models, home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary connections to community and other services. (for use only in medicare-approved cms innovation center models); may not be billed for a 30 day period covered by a transitional care management code",,,FALSE,C4746351,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20160401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0206=THIS SERVICE IS PART OF A DEMONSTRATION PROJECT.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5782,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty",,,FALSE,C1145284,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5781-L5783,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S2405,"Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero",,,FALSE,C1145317,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5615,"Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control",,,FALSE,C5574575,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5610-L5617,N=No maintenance for this code,20240101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5700-L5703,Prosthetic Procedures - Lower Limb - Replacement Sockets,,,FALSE,C4542631,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V5364,Dysphagia screening,,,FALSE,C0500456,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5362-V5364,N=No maintenance for this code,20040101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19900101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862(a)(7),1=Medical care|W=Physical therapy,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L8628,"Cochlear implant, external controller component, replacement",,,FALSE,C2729360,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8608-L8629,N=No maintenance for this code,20100101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20100101,65-14,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S8450,"Splint, prefabricated, digit (specify digit by use of modifier)",,,FALSE,C0994192,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6244,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",,,FALSE,C0520053,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,Wheelchairs and Accessories,,,FALSE,C5228956,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20K0000-K9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0469,"Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf",,,FALSE,C3710480,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0530,"Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type",,,FALSE,C5229179,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0500-E0530,N=No maintenance for this code,20240101,0,D1E=Other DME,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7631,"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams",,,FALSE,C0520200,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20080101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9367,At least two orders for high-risk medications from the same drug class,,,FALSE,C4542717,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V2315,"Lenticular, (myodisc), per lens, trifocal",,,FALSE,C0500372,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L6715,"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement",,,FALSE,C3248663,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6700-L6882,N=No maintenance for this code,20120101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5240,"Dispensing fee, contralateral routing system, binaural",,,FALSE,C4746522,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20190101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/E0301,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress",,,FALSE,C1314297,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,20040101,0,D1B=Hospital beds,D=Special coverage instructions apply,20040101,60-18,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T4532,"Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each",,,FALSE,C1509114,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20050101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7514,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with all angioplasty in the central dialysis segment, and transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all required imaging, radiological supervision and interpretation, image documentation and report",,,FALSE,C5771528,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P6C=Minor procedures - other (Medicare fee schedule),C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0562,"Therapeutic radiology simulation-aided field setting; complex, including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy treatment planning (i.e., modeling)",,,FALSE,C5883989,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,P7A=Oncology - radiation therapy,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A9900,"Miscellaneous dme supply, accessory, and/or service component of another hcpcs code",,,FALSE,C0812626,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9900-A9999,N=No maintenance for this code,20010101,0,D1E=Other DME,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/E0940,"Trapeze bar, free standing, complete with grab bar",,,FALSE,C0498528,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,19890101,0,D1B=Hospital beds,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4027,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster",,,FALSE,C0994022,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1227,Evidence-based therapy was prescribed,,,FALSE,C5884132,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1380,"Filled at least two prescriptions during the performance period for any combination of the qualifying oral antipsychotic medications listed under ""denominator note"" or the long-acting injectable antipsychotic medications listed under ""denominator note""",,,FALSE,C5974328,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9824,Endometrial sampling or hysteroscopy with biopsy and results not documented during the 12 months prior to the index date (exclusive of the index date) of the endometrial ablation,,,FALSE,C4316134,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/E0457,Chest shell (cuirass),,,FALSE,C0498456,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20140101,0,D1E=Other DME,I=Not payable by Medicare,19900101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H2024,"Supported employment, per diem",,,FALSE,C1314397,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1246,"Patient provided a response other than ""completely true"" for the question of patient felt this provider and team understood what is important to me in my life",,,FALSE,C5884151,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1403,Patients with baseline and follow-up promis surveys documented in the medical record,,,FALSE,C5974350,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C9608,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; each additional coronary artery, coronary artery branch, or bypass graft (list separately in addition to code for primary procedure)",,,FALSE,C3534805,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9600-C9610,N=No maintenance for this code,20130101,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,"0107=PAYMENT IS FOR HOSPITAL OUTPATIENT ONLY. NOT PAYABLE UNDER THE PHYSICIAN FEE SCHEDULE; IN ACCORDANCE WITH FR DATE 8/9/2002 (HOPPS), PAGE 52105.",1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9780,Patients who have a diagnosis of rhabdomyolysis at any time during the performance period,,,FALSE,C4316173,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/Q4117,"Hyalomatrix, per square centimeter",,,FALSE,C2959318,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20110101,0,O1E=Other drugs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A4559,"Coupling gel or paste, for use with ultrasound device, per oz",,,FALSE,C1740778,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20070101,0,D1E=Other DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1802,"Dynamic adjustable forearm pronation/supination device, includes soft interface material",,,FALSE,C1145119,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5341,"Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot",,,FALSE,C0993978,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5301-L5341,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9476,"Services performed by volunteer in the hospice setting, each 15 minutes",,,FALSE,C4067442,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,M5D=Specialist - other,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4262,"Temporary, absorbable lacrimal duct implant, each",,,FALSE,C0497803,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,19980101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19940101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0052=PAYMENT BUNDLED INTO PROCEDURE CODE (A4262, A4647, 99141, 99142).",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S2107,"Adoptive immunotherapy i.e. development of specific anti-tumor reactivity (e.g., tumor-infiltrating lymphocyte therapy) per course of treatment",,,FALSE,C1145314,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0175,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present,,,FALSE,C0919002,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20000701,0,M6=Consultations,C=Carrier judgment,20000701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0101=G0175 REPRESENTS A SERVICE PAYABLE BY THE OPPS. IT MAY NOT BE USED IN THE MEDICARE PHYSICIAN FEE SCHEDULE SYSTEM.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9073,"Injection, cyclophosphamide (dr. reddy's), 5 mg",,,FALSE,C5979740,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,C=Change in long description of procedure or modifier code,20250401,0,O1D=Chemotherapy,D=Special coverage instructions apply,20240401,,,A=Not applicable as HCPCS priced under one methodology,2049,20240401,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S4990,"Nicotine patches, legend",,,FALSE,C0994148,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4990-S5014,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1241,"Patient did not respond to the question of patient felt this provider and team saw me as a person, not just someone with a medical problem",,,FALSE,C5884146,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L1990,"Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated",,,FALSE,C0499532,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1900-L1990,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A2016,"Permeaderm b, per square centimeter",,,FALSE,C5771500,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20221001,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20221001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/K0607,"Replacement battery for automated external defibrillator, garment type only, each",,,FALSE,C1314440,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0606-K0609,N=No maintenance for this code,20140401,0,D1E=Other DME,C=Carrier judgment,20030701,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3010,"Foot, insert, removable, molded to patient model, longitudinal arch support, each",,,FALSE,C0499641,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3000-L3031,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8399,Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed,,,FALSE,C4067432,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20160101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4663,Blood pressure cuff only,,,FALSE,C0993681,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6154,"Wound pouch, each",,,FALSE,C0520170,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J3530,Nasal vaccine inhalation,,,FALSE,C0499038,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1754,"Catheter, intradiscal",,,FALSE,C0993748,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1170,Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period,,,FALSE,C5771678,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4045,"Cast supplies, short leg splint, adult (11 years +), plaster",,,FALSE,C0994040,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2013,"Extensive (75 minutes) in-home visit for an existing patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)",,,FALSE,C5229046,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5001-Q5010,Hospice Care (CMS Temporary Codes),,,FALSE,C2729415,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/LL,Lease/rental (use the 'll' modifier when dme equipment rental is to be applied against the purchase price),,,FALSE,C0497645,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19840101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/LD,Left anterior descending coronary artery,,,FALSE,C0226032,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19970101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/LM,Left main coronary artery,,,FALSE,C1261082,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20130101,,,C=Carrier judgment,20130101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/LC,Left circumflex coronary artery,,,FALSE,C0226037,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19970101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/LT,Left side (used to identify procedures performed on the left side of the body),,,FALSE,C0497648,http://purl.bioontology.org/ontology/STY/T082,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19840101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T082
http://purl.bioontology.org/ontology/HCPCS/LS,Fda-monitored intraocular lens implant,,,FALSE,C0497647,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,D=Special coverage instructions apply,19910101,65-7,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/LU,Fractionated payment,,,FALSE,C5771742,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20230401,,,C=Carrier judgment,20220101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/LR,Laboratory round trip,,,FALSE,C0497646,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19870101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J2210,"Injection, methylergonovine maleate, up to 0.2 mg",,,FALSE,C0498931,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7199,"Hemophilia clotting factor, not otherwise classified",,,FALSE,C0812744,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20000101,0,O1E=Other drugs,D=Special coverage instructions apply,20000101,45-24,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9989,Services provided outside of the united states of america (list in addition to code(s) for service(s)),,,FALSE,C0994273,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9900-S9999,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9209,"Home management of preterm premature rupture of membranes (pprom), including administrative services, professional pharmacy services, care coordination, and all necessary supplies or equipment (drugs and nursing visits coded separately), per diem (do not use this code with any home infusion per diem code)",,,FALSE,C0994202,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9208-S9214,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7322,"Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg",,,FALSE,C4285541,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7318-J7329,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,20170101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8608-L8629,Prosthetic Implants - Eye and Ear,,,FALSE,C4542644,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L8500-L9900,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8944,Ajcc melanoma cancer stage 0 through iic melanoma,,,FALSE,C3534766,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2100-V2199,"Single Vision, Glass, or Plastic",,,FALSE,C0813134,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20V0000-V2999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T1000,"Private duty / independent nursing service(s) - licensed, up to 15 minutes",,,FALSE,C0994274,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0205,"Heat lamp, with stand, includes bulb, or infrared element",,,FALSE,C0498393,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0200-E0239,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds",,,FALSE,C1739988,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L7499,"Upper extremity prosthesis, not otherwise specified",,,FALSE,C0520227,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7499-L7600,N=No maintenance for this code,19980101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S2115,"Osteotomy, periacetabular, with internal fixation",,,FALSE,C0994106,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0283,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",,,FALSE,C1145155,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20030101,0,P5E=Ambulatory procedures - other,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,W=Physical therapy|U=Occupational therapy|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9260,"Injection, methotrexate sodium, 50 mg",,,FALSE,C5974291,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240401,0,O1D=Chemotherapy,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1550,"Bath conductivity meter for hemodialysis, each",,,FALSE,C0498654,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0140,"Saquinavir, 200 mg",,,FALSE,C1314714,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A5072,"Ostomy pouch, urinary; without barrier attached (1 piece), each",,,FALSE,C0497949,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5051-A5093,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0488,"Power pack base for use with electric ventricular assist device, replacement only",,,FALSE,C1617360,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0468,"Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv",,,FALSE,C3871270,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0466-G0470,N=No maintenance for this code,20141001,0,M1B=Office visits - established,C=Carrier judgment,20141001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2406,"Injection, oritavancin (kimyrsa), 10 mg",,,FALSE,C5574559,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20211001,0,O1E=Other drugs,C=Carrier judgment,20211001,,,A=Not applicable as HCPCS priced under one methodology,,20211001,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4269,"Surgraft xt, per square centimeter",,,FALSE,C5884285,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230401,0,O1E=Other drugs,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L3002,"Foot, insert, removable, molded to patient model, plastazote or equal, each",,,FALSE,C0499639,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3000-L3031,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/H1003,"Prenatal care, at-risk enhanced service; education",,,FALSE,C0993933,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6553,"Gradient compression stocking, below knee, 30-40 mmhg, custom, each",,,FALSE,C5883895,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6130,"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff",,,FALSE,C0499999,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6100-L6130,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7340,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml",,,FALSE,C4067612,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7330-J7402,N=No maintenance for this code,20200101,0,O1E=Other drugs,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20200101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L8617,"Transmitting coil for use with cochlear implant device, replacement",,,FALSE,C1509071,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8608-L8629,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20050101,65-14,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6697,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695)",,,FALSE,C1509065,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0598,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units",,,FALSE,C2959234,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20110101,0,O1E=Other drugs,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,20100101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9505,"Thallium tl-201 thallous chloride, diagnostic, per millicurie",,,FALSE,C0520083,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,19960101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/Q5101,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",,,FALSE,C4746499,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20240101,0,O1E=Other drugs,D=Special coverage instructions apply,20150701,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,"0187=PUB. 100-4, CHAPTER 17.",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0731,Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric),,,FALSE,C0498500,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19890101,45-25,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1685,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated",,,FALSE,C0499492,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1600-L1690,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6555,"Gradient compression stocking, below knee, 40 mmhg or greater, custom, each",,,FALSE,C5883897,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1216,No spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and/or no spirometry performed with results documented during the encounter,,,FALSE,C5884123,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V5252,"Hearing aid, digitally programmable, binaural, ite",,,FALSE,C0994301,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1844,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated",,,FALSE,C0499509,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19930101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1763,"Connective tissue, non-human (includes synthetic)",,,FALSE,C0993754,http://purl.bioontology.org/ontology/STY/T024,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T024
http://purl.bioontology.org/ontology/HCPCS/M1222,"Glaucoma plan of care not documented, reason not otherwise specified",,,FALSE,C5884128,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0305,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services",,,FALSE,C1314379,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20040101,0,T2D=Other tests - other,C=Carrier judgment,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0061,Anesthesiology mips specialty set,,,FALSE,C5574486,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9599,Aortic aneurysm 6.0 cm or greater maximum diameter on centerline formatted ct or minor diameter on axial formatted ct,,,FALSE,C4067524,http://purl.bioontology.org/ontology/STY/T034,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T034
http://purl.bioontology.org/ontology/HCPCS/J1428,"Injection, eteplirsen, 10 mg",,,FALSE,C4542689,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9959,Systemic antimicrobials not prescribed,,,FALSE,C2367629,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6413-A6461,Medical and Surgical Supplies - Bandages,,,FALSE,C4746262,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5677,"Additions to lower extremity, below knee, knee joints, polycentric, pair",,,FALSE,C0499917,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L5000-L9999,Prosthetic Procedures,,,FALSE,C0204076,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20L0000-L9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9975,"Transplant related lodging, meals and transportation, per diem",,,FALSE,C1145358,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9900-S9999,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9078,"Oncology; disease status; prostate cancer, limited to adenocarcinoma as predominant cell type; t2 or t3a gleason 8-10 or psa > 20 at diagnosis with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1617341,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7298,"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg",,,FALSE,C4067609,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7294-J7307,N=No maintenance for this code,20170101,0,P6C=Minor procedures - other (Medicare fee schedule),S=Non-covered by Medicare statute,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862(a)(1),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2781,"Injection, pegcetacoplan, intravitreal, 1 mg",,,FALSE,C5884077,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20231001,0,O1E=Other drugs,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,20231001,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L7362,"Battery charger, six volt, each",,,FALSE,C0500142,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7360-L7368,N=No maintenance for this code,20080101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6025,"Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each",,,FALSE,C0497967,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20070101,0,D1A=Medical/surgical supplies,C=Carrier judgment,19970101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9984,"Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires at least 2 of the following 3 key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of low to moderate severity. typically, 15 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology",,,FALSE,C4724187,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20181001,0,M1B=Office visits - established,C=Carrier judgment,20181001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4038,"Cast supplies, short leg cast, adult (11 years +), fiberglass",,,FALSE,C0994033,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2025,Deluxe frame,,,FALSE,C0500314,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2020-V2025,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,M=Non-covered by Medicare,19920101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),3045.4,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G2252,"Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion",,,FALSE,C5439731,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,M5D=Specialist - other,C=Carrier judgment,20210101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0446,"Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes",,,FALSE,C3248417,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0438-G0451,N=No maintenance for this code,20111108,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20111108,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0892,"Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis)",,,FALSE,C5771610,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230401,0,O1E=Other drugs,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,4273.1|2049,20230101,,YY,51=Drugs,,,1=Medical care|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J3410,"Injection, hydroxyzine hcl, up to 25 mg",,,FALSE,C0499029,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9627,Patient did not sustain bladder injury at the time of surgery nor discovered subsequently up to 30 days post-surgery,,,FALSE,C4746363,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L5991,"Addition to lower extremity prostheses, osseointegrated external prosthetic connector",,,FALSE,C5884113,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,20231001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L4631,"Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, custom fabricated",,,FALSE,C2959290,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4350-L4631,N=No maintenance for this code,20110101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0542,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes (list separately in addition to code for primary service) (use g0542 in conjunction with g0541)",,,FALSE,C5974175,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S8490,"Insulin syringes (100 syringes, any size)",,,FALSE,C0994195,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0134,"Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg",,,FALSE,C5771599,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0966,"Manual wheelchair accessory, headrest extension, each",,,FALSE,C0918023,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1069,Patient screened for future fall risk,,,FALSE,C2236603,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1314,Bmi not documented and no reason is given,,,FALSE,C5849194,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/K1035,"Molecular diagnostic test reader, nonprescription self-administered and self-collected use, fda approved, authorized or cleared",,,FALSE,C5884110,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K1030-K1037,N=No maintenance for this code,20230401,0,Z2=Undefined codes,C=Carrier judgment,20230401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9305,Intervention for presence of leak of endoluminal contents through an anastomosis not required,,,FALSE,C3710406,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L2335,"Addition to lower extremity, anterior swing band",,,FALSE,C0499583,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8936,"Clinician documented that patient was not an eligible candidate for angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy (eg, allergy, intolerance, pregnancy, renal failure due to ace inhibitor, diseases of the aortic or mitral valve, other medical reasons) or (eg, patient declined, other patient reasons)",,,FALSE,C2959158,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20240101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4347,"Rampart dl matrix, per square centimeter",,,FALSE,C5974424,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J1710,"Injection, hydrocortisone sodium phosphate, up to 50 mg",,,FALSE,C0498894,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L2232,"Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only",,,FALSE,C1509057,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2184,"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg",,,FALSE,C5771622,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q0495,"Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only",,,FALSE,C1617871,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,Power Mobility Devices,,,FALSE,C4542617,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20K0000-K9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P9099,Blood component or product not otherwise classified,,,FALSE,C5229193,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20200101,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,,"0=Whole blood only eff 01/96, whole blood or packed red cells before 01/96",,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/T4521,"Adult sized disposable incontinence product, brief/diaper, small, each",,,FALSE,C1509103,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20050101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9554,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries",,,FALSE,C1618852,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/S4035,"Stimulated intrauterine insemination (iui), case rate",,,FALSE,C1145323,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0683,"Non-pneumatic, non-sequential, peristaltic wave compression pump",,,FALSE,C5974124,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0678-E0683,N=No maintenance for this code,20241001,0,D1E=Other DME,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q5143,"Injection, adalimumab-adbm, biosimilar, 1 mg",,,FALSE,C5974441,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/T2041,"Supports brokerage, self-directed, waiver; per 15 minutes",,,FALSE,C1314641,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9628,Patient sustained bowel injury at the time of surgery or discovered subsequently up to 30 days post-surgery,,,FALSE,C4746364,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J3246,"Injection, tirofiban hcl, 0.25 mg",,,FALSE,C1509016,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0491,"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day supply",,,FALSE,C5883992,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20250101,0,D1E=Other DME,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H0017,"Behavioral health; residential (hospital residential treatment program), without room and board, per diem",,,FALSE,C0919053,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4639,"Replacement pad for infrared heating pad system, each",,,FALSE,C1144952,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4630-A4640,N=No maintenance for this code,20140401,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6029,"Upper extremity addition, test socket/interface, partial hand including fingers",,,FALSE,C5979747,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6000-L6037,A=Add procedure or modifier code,20250401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1813,"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units",,,FALSE,C5884057,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9290,Non small cell lung cancer biopsy and cytology specimen report does not document classification into specific histologic type or classified as nsclc-nos with an explanation,,,FALSE,C5551241,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J1202,"Miglustat, oral, 65 mg",,,FALSE,C5974240,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240401,0,O1E=Other drugs,I=Not payable by Medicare,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8431,Screening for depression is documented as being positive and a follow-up plan is documented,,,FALSE,C1971273,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20170101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1357,Patients who had a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment,,,FALSE,C5884218,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0421,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour",,,FALSE,C2729179,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0420-G0421,N=No maintenance for this code,20100101,0,M1B=Office visits - established,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0641,"Injection, levoleucovorin, not otherwise specified, 0.5 mg",,,FALSE,C5229155,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230101,0,O1E=Other drugs,D=Special coverage instructions apply,20090101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,51=Drugs,"0127=PUBLICATION 100.2, CHAPTER 15, 50.1.",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S4015,"Complete in vitro fertilization cycle, not otherwise specified, case rate",,,FALSE,C0994133,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9277,"Documentation that the patient is on daily aspirin or anti-platelet or has documentation of a valid contraindication or exception to aspirin/anti-platelet; contraindications/exceptions include anti-coagulant use, allergy to aspirin or anti-platelets, history of gastrointestinal bleed and bleeding disorder; additionally, the following exceptions documented by the physician as a reason for not taking daily aspirin or anti-platelet are acceptable (use of non-steroidal anti-inflammatory agents, documented risk for drug interaction, uncontrolled hypertension defined as >180 systolic or >110 diastolic or gastroesophageal reflux)",,,FALSE,C3710381,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0144,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision",,,FALSE,C0694944,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20030101,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,19990101,,630=Cytology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,"0045=SEE INTERMEDIARY MANUAL 3628.1A FOR PAYMENT INSTRUCTIONS. (P3000,P3001 G0123, G0124, G0141, G0143, G0144, G0145, G0147, G0148). PROGRAM MEMORANDUM AB-98-71.60.",,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6300-L6320,Prosthetic Procedures - Shoulder Disarticulation,,,FALSE,C0813091,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A5506,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe",,,FALSE,C0520238,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5500-A5514,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2134,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,J=Diabetic shoes (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3905,"Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment",,,FALSE,C1618380,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3201,"Orthopedic shoe, oxford with supinator or pronator, infant",,,FALSE,C0499655,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/H2041,"Coordinated specialty care, team-based, for first episode psychosis, per encounter",,,FALSE,C5884018,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20231001,0,Z2=Undefined codes,I=Not payable by Medicare,20231001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S2411,Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome,,,FALSE,C0994120,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T1041,"Medicaid certified community behavioral health clinic services, per month",,,FALSE,C4316072,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,I=Not payable by Medicare,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L2260,"Addition to lower extremity, reinforced solid stirrup (scott-craig type)",,,FALSE,C0499574,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4285,"Polycarbonate bottle for use with breast pump, replacement",,,FALSE,C1144913,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20070101,0,Z2=Undefined codes,C=Carrier judgment,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0491-G0492,Dialysis Procedure,,,FALSE,C0011946,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q0502,"Mobility cart for pneumatic ventricular assist device, replacement only",,,FALSE,C1618387,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9965,Patient did not receive at least one well-child visit with a pcp during the performance period,,,FALSE,C4542783,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0181,Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans,,,FALSE,C0919008,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20200301,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1938,"Injection, furosemide, 1 mg",,,FALSE,C5979731,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,D=Special coverage instructions apply,20250401,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2625,Enlargement of ocular prosthesis,,,FALSE,C0500402,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2623-V2629,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19930101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9247,Patient had two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart,,,FALSE,C5974203,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20250101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C9901,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system and tissue anchoring components",,,FALSE,C5974120,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20240701,0,P1G=Major procedure - other,D=Special coverage instructions apply,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1033(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J8498,"Antiemetic drug, rectal/suppository, not otherwise specified",,,FALSE,C1616842,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7699-J8499,N=No maintenance for this code,20060101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,1861s2T,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/G0492,Dialysis procedure with single evaluation by a physician or other qualified health care professional for acute kidney injury without esrd,,,FALSE,C4316276,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0491-G0492,N=No maintenance for this code,20170101,0,P9A=Dialysis services (Medicare fee schedule),C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9522,"Total number of emergency department visits and inpatient hospitalizations equal to or greater than two in the past 12 months or patient not screened, reason not given",,,FALSE,C4067473,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5510-L5600,Prosthetic Procedures - Lower Limb - Preparatory Prosthesis,,,FALSE,C0813076,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5000,"Partial foot, shoe insert with longitudinal arch, toe filler",,,FALSE,C0499823,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5000-L5020,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2323,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2520,"Contact lens, hydrophilic, spherical, per lens",,,FALSE,C0500390,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2500-V2599,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,65-1|45-7,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S3005,"Performance measurement, evaluation of patient self assessment, depression",,,FALSE,C1619414,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20050401,0,Z2=Undefined codes,I=Not payable by Medicare,20050401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2224,"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each",,,FALSE,C1616811,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/J0281,"Injection, aminocaproic acid, 1 gram",,,FALSE,C5979725,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8723,Specimen site is other than anatomic location of primary tumor,,,FALSE,C3248466,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C2643,"Brachytherapy source, non-stranded, cesium-131, per source",,,FALSE,C1971553,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2634-C2699,N=No maintenance for this code,20070701,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20070701,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J1562,"Injection, immune globulin (vivaglobin), 100 mg",,,FALSE,C1743166,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20080101,0,O1E=Other drugs,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0460,"Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedures, administration and dressings, per treatment",,,FALSE,C5574494,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0452-G0465,N=No maintenance for this code,20230701,0,P5E=Ambulatory procedures - other,C=Carrier judgment,20120802,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/BA,Item furnished in conjunction with parenteral enteral nutrition (pen) services,,,FALSE,C1144846,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,C=Carrier judgment,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/BL,Special acquisition of blood and blood products,,,FALSE,C1616290,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20050701,,,C=Carrier judgment,20050701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/BO,"Orally administered nutrition, not by feeding tube",,,FALSE,C1144847,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,C=Carrier judgment,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/BU,The beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier of his/her decision,,,FALSE,C0497604,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19920101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/BP,The beneficiary has been informed of the purchase and rental options and has elected to purchase the item,,,FALSE,C0497602,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19920101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/BR,The beneficiary has been informed of the purchase and rental options and has elected to rent the item,,,FALSE,C0497603,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19920101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L5706,"Custom shaped protective cover, knee disarticulation",,,FALSE,C0499937,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5704-L5707,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S0315,Disease management program; initial assessment and initiation of the program,,,FALSE,C1314504,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20021001,0,Z2=Undefined codes,I=Not payable by Medicare,20021001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E1296,Special wheelchair seat height from floor,,,FALSE,C0498623,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1280-E1298,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-6,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0328,"Hospital bed, pediatric, manual, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress",,,FALSE,C1971591,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,20080101,0,D1B=Hospital beds,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L4110,"Replace leather cuff kafo-afo, calf or distal thigh",,,FALSE,C0499811,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4000-L4210,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4319,"Sanograft, per square centimeter",,,FALSE,C5974396,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9549,"Documentation of medical reason(s) that follow-up imaging is indicated (e.g., patient has lymphadenopathy, signs of metastasis or an active diagnosis or history of cancer, and other medical reason(s))",,,FALSE,C5229143,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9296,"Patients with documented shared decision-making including discussion of conservative (non-surgical) therapy (e.g., nsaids, analgesics, weight loss, exercise, injections) prior to the procedure",,,FALSE,C3710397,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L6641,"Upper extremity addition, excursion amplifier, pulley type",,,FALSE,C0500040,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L0120,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)",,,FALSE,C3710467,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0112-L0174,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0494,"Skilled services of a licensed practical nurse (lpn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting)",,,FALSE,C4316274,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0493-G0496,N=No maintenance for this code,20170101,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9994,"Lodging costs (e.g., hotel charges) for clinical trial participant and one caregiver/companion",,,FALSE,C0812873,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9900-S9999,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J7314,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg",,,FALSE,C5229165,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7311-J7316,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,20191001,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9399,Unclassified drugs or biologicals,,,FALSE,C1508868,http://purl.bioontology.org/ontology/STY/T185,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20040101,0,O1E=Other drugs,D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,621MMA,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T185
http://purl.bioontology.org/ontology/HCPCS/C7508,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) using mechanical device (e.g., kyphoplasty), unilateral or bilateral cannulations, inclusive of all imaging guidance",,,FALSE,C5771522,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P3D=Major procedure - orthopedic - other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A2026,"Restrata minimatrix, 5 mg",,,FALSE,C5974073,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20240401,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0130-E0155,Walkers,,,FALSE,C0043016,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0900,"Customized durable medical equipment, other than wheelchair",,,FALSE,C3710466,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0900-K0900,N=No maintenance for this code,20130701,0,D1E=Other DME,D=Special coverage instructions apply,20130701,,,A=Not applicable as HCPCS priced under one methodology,,,,,45=Customized DME items,0188=PUB. 100-04 CH. 20 S. 30.3.,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0744,"Absorptive wound dressing for use with suction pump, home model, portable, pad size 16 square inches or less",,,FALSE,C3248659,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0669-K0746,N=No maintenance for this code,20110701,0,D1E=Other DME,C=Carrier judgment,20110701,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4046,"Cast supplies, short leg splint, adult (11 years +), fiberglass",,,FALSE,C0994041,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A0426,"Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)",,,FALSE,C0918291,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20010101,0,O1A=Ambulance,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9351,"Home infusion therapy, continuous or intermittent anti-emetic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and visits coded separately), per diem",,,FALSE,C0994229,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20070401,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",,,FALSE,C1314431,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0455-K0605,N=No maintenance for this code,20170101,0,D1E=Other DME,D=Special coverage instructions apply,20030701,60-14,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L4010,Replace trilateral socket brim,,,FALSE,C0499799,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4000-L4210,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5980,"All lower extremity prostheses, flex foot system",,,FALSE,C0499984,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4232,"Corplex, per square centimeter",,,FALSE,C5439776,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9317,"Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family not completed",,,FALSE,C3710417,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/B4189,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix",,,FALSE,C0497994,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4164-B5200,N=No maintenance for this code,20020101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19880101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/K0071,"Front caster assembly, complete, with pneumatic tire, replacement only, each",,,FALSE,C0499230,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/G9775,Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively,,,FALSE,C4316178,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q1005,New technology intraocular lens category 5 as defined in federal register notice,,,FALSE,C0812768,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q1004-Q1005,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19990701,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,"0086=Q1001, Q1002, Q1003, Q1004, AND Q1005 MUST BE BILLED WITH ONE OF THE FOLLOWING PROCEDURE CODES - 66983, 66984, 66985 OR 66986 BY ASC.",,F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S1016,"Non-pvc (polyvinyl chloride) intravenous administration set, for use with drugs that are not stable in pvc e.g., paclitaxel",,,FALSE,C0919170,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9179,"Injection, eribulin mesylate, 0.1 mg",,,FALSE,C3248655,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20120101,0,O1D=Chemotherapy,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,20120101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1823,"Dynamic adjustable ankle flexion only device, includes soft interface material",,,FALSE,C5974141,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20250101,0,D1E=Other DME,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9005,"Coordinated care fee, risk adjusted maintenance",,,FALSE,C0919032,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9001-G9012,N=No maintenance for this code,20001001,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20001001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0097=FOR INSTRUCTIONS RELATED TO THE MEDICARE COORDINATED CARE DEMONSTRATION (MCCD) SEF CR1050, 1116 AND 1118.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2212,"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each",,,FALSE,C1618858,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9105,"Oncology; disease status; pancreatic cancer, limited to adenocarcinoma as predominant cell type; post r0 resection without evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1619389,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8881,Stage of breast cancer is greater than t1n0m0 or t2n0m0,,,FALSE,C3248615,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M0100,Intragastric hypothermia using gastric freezing,,,FALSE,C0500224,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20040101,0,P1G=Major procedure - other,M=Non-covered by Medicare,19860101,35-65,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9876,"Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 7-9 under the mdpp expanded model (em). a core maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 7 through 12 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary did not achieve at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 7-9",,,FALSE,C4746389,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180401,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20180401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L5686,"Addition to lower extremity, below knee, back check (extension control)",,,FALSE,C0499922,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M0201,"Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home",,,FALSE,C5884117,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,O1G=Immunizations/Vaccinations,C=Carrier judgment,20210608,,,A=Not applicable as HCPCS priced under one methodology,,,,,54=Vaccinations,,,"V=Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9456,"Documentation of medical or patient reason(s) for not ordering or performing screening for hcc. medical reason: comorbid medical conditions with expected survival < 5 years, hepatic decompensation and not a candidate for liver transplantation, or other medical reasons; patient reasons: patient declined or other patient reasons (e.g., cost of tests, time related to accessing testing equipment)",,,FALSE,C3871350,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9554,"Final reports for ct, cta, mri or mra of the chest or neck with follow-up imaging recommended",,,FALSE,C4067500,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S0257,"Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service)",,,FALSE,C1509087,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20050101,0,Z2=Undefined codes,I=Not payable by Medicare,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C1729,"Catheter, drainage",,,FALSE,C0879005,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9468,Patient not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills,,,FALSE,C3871360,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0381,"Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)",,,FALSE,C1737748,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0378-G0384,N=No maintenance for this code,20080101,0,M3=Emergency room visit,C=Carrier judgment,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9484,"Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a comprehensive history; a comprehensive examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 45 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology",,,FALSE,C4316255,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20160401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0206=THIS SERVICE IS PART OF A DEMONSTRATION PROJECT.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9051,"Oncology; primary focus of visit; treatment decision-making after disease is staged or restaged, discussion of treatment options, supervising/coordinating active cancer directed therapy or managing consequences of cancer directed therapy (for use in a medicare-approved demonstration project)",,,FALSE,C1618877,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4709,"Acid concentrate, solution, for hemodialysis, per gallon",,,FALSE,C0993685,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S9443,"Lactation classes, non-physician provider, per session",,,FALSE,C0994252,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J2470,"Injection, pantoprazole sodium, 40 mg",,,FALSE,C1509083,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9455,"Patient underwent abdominal imaging with ultrasound, contrast enhanced ct or contrast mri for hcc",,,FALSE,C3871349,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L8047,"Nasal septal prosthesis, provided by a non-physician",,,FALSE,C0919107,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8040-L8049,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/B9999,Noc for parenteral supplies,,,FALSE,C0498010,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B9002-B9999,N=No maintenance for this code,19960101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19850101,65-10,,A=Not applicable as HCPCS priced under one methodology,2130|4450,,,,57=Other carrier priced,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/B4087,"Gastrostomy/jejunostomy tube, standard, any material, any type, each",,,FALSE,C1971410,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4034-B4088,N=No maintenance for this code,20080101,0,O1C=Enteral and parenteral,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0730,Controlled dose inhalation drug delivery system,,,FALSE,C1616334,http://purl.bioontology.org/ontology/STY/T203,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0669-K0746,N=No maintenance for this code,20140401,0,D1E=Other DME,C=Carrier judgment,20050701,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T203
http://purl.bioontology.org/ontology/HCPCS/E0956,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each",,,FALSE,C1314307,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0687,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",,,FALSE,C5974233,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,D=Special coverage instructions apply,20240701,,,A=Not applicable as HCPCS priced under one methodology,2049,20240701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L8692,"Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment",,,FALSE,C2729362,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8690-L9900,N=No maintenance for this code,20100101,0,D1F=Prosthetic/Orthotic devices,S=Non-covered by Medicare statute,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862(a)(7),"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A5507,"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe",,,FALSE,C0520240,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5500-A5514,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2134,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,J=Diabetic shoes (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9297,"Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg",,,FALSE,C5884102,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20230401,0,O1E=Other drugs,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,20230401,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9075,"Injection, cyclophosphamide, not otherwise specified, 5 mg",,,FALSE,C5974286,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240401,0,O1D=Chemotherapy,D=Special coverage instructions apply,20240401,,,A=Not applicable as HCPCS priced under one methodology,2049,20240401,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S4005,Interim labor facility global (labor occurring but not resulting in delivery),,,FALSE,C1145318,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A9502,"Technetium tc-99m tetrofosmin, diagnostic, per study dose",,,FALSE,C0520082,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20090101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,19980101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8499-L8499,Prosthetic Procedures - Unlisted Procedures,,,FALSE,C5228986,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L7700-L8499,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1133,"Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery",,,FALSE,C5203746,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3332,"Lift, elevation, inside shoe, tapered, up to one-half inch",,,FALSE,C0499691,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3300-L3334,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1359,Index assessment during the denominator period when the suicidal ideation and/or behavior symptoms or increased suicide risk by clinician determination occurs and a non-zero c-ssrs score is obtained,,,FALSE,C5884220,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0526,"Management of established patient-caregiver dyad with dementia, high complexity, for use in cmmi model",,,FALSE,C5974159,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0519-G0531,N=No maintenance for this code,20240701,0,Z2=Undefined codes,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L1006,"Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C5974297,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1000-L1120,N=No maintenance for this code,20241001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1730,"Legg perthes orthosis, (scottish rite type), custom fabricated",,,FALSE,C0499497,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1700-L1755,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q9962,"High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml",,,FALSE,C1618391,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9950-Q9969,N=No maintenance for this code,20050701,0,I1E=Standard imaging - nuclear medicine,D=Special coverage instructions apply,20050701,,,A=Not applicable as HCPCS priced under one methodology,15022,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/C9793,"3d predictive model generation for pre-planning of a cardiac procedure, using data from cardiac computed tomographic angiography and/or magnetic resonance imaging with report",,,FALSE,C5979715,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,C=Change in long description of procedure or modifier code,20250401,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4391,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each",,,FALSE,C0812618,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3050,"Foot, arch support, removable, premolded, metatarsal, each",,,FALSE,C0499645,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3040-L3060,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9011,"Coordinated care fee, risk adjusted maintenance, level 5",,,FALSE,C0993928,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9001-G9012,N=No maintenance for this code,20011001,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20011001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0096=SERVICE REPRESENTED BY G9106 IS REPORTABLE ONLY BY PARTICIPANTS IN THE SMOKING CESSATION COUNSELING DEMONSTRATION PROJECT.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1032,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface",,,FALSE,C5979718,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1031-E1039,A=Add procedure or modifier code,20250401,0,D1D=Wheelchairs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0019-G0024,"Integration, and Navigation Services",,,FALSE,C5974068,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S8428,"Gradient pressure aid (gauntlet), ready made",,,FALSE,C0994188,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",,,FALSE,C3710505,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0232,Warming card for use with the non contact wound warming device and non contact wound warming wound cover,,,FALSE,C0993855,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0200-E0239,N=No maintenance for this code,20020701,0,D1E=Other DME,M=Non-covered by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2303,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9621,Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling,,,FALSE,C4067543,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G2076,"Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based social determinants of health risk assessment to identify unmet health-related social needs, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code",,,FALSE,C5229067,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J9999,"Not otherwise classified, antineoplastic drugs",,,FALSE,C0499161,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,19970101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19860101,45-16,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0379,Direct admission of patient for hospital observation care,,,FALSE,C1617832,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0378-G0384,N=No maintenance for this code,20100101,0,M2A=Hospital visit - initial,D=Special coverage instructions apply,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0107=PAYMENT IS FOR HOSPITAL OUTPATIENT ONLY. NOT PAYABLE UNDER THE PHYSICIAN FEE SCHEDULE; IN ACCORDANCE WITH FR DATE 8/9/2002 (HOPPS), PAGE 52105.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3260,"Surgical boot/shoe, each",,,FALSE,C0499685,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2079,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q0501,"Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only",,,FALSE,C1618901,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4342,"Theramend, per square centimeter",,,FALSE,C5974419,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20241001,0,O1E=Other drugs,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L0861,"Addition to halo procedure, replacement liner/interface material",,,FALSE,C1314461,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0810-L0861,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9432,"Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented",,,FALSE,C3871330,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q5007,Hospice care provided in long term care facility,,,FALSE,C1737766,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5001-Q5010,N=No maintenance for this code,20070101,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0133=SEE ONLINE MANUAL 100-02.9.,,1=Medical care|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L6706,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined",,,FALSE,C1741417,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6700-L6882,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0850,"Traction stand, free standing, cervical traction",,,FALSE,C0498518,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,19940101,0,D1E=Other DME,D=Special coverage instructions apply,19820101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2501,"Contact lens, pmma, toric or prism ballast, per lens",,,FALSE,C0500383,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2500-V2599,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L7520,"Repair prosthetic device, labor component, per 15 minutes",,,FALSE,C0520189,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7499-L7600,N=No maintenance for this code,20000101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19970101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1130,"Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests",,,FALSE,C0498590,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1130-E1161,N=No maintenance for this code,20010401,0,D1D=Wheelchairs,I=Not payable by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,K0001,,http://purl.bioontology.org/ontology/HCPCS/K0001,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q9982,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries",,,FALSE,C4048769,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9982-Q9999,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,D=Special coverage instructions apply,20160701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,20250101,,YY,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0189=IOM 100-3, CH 4, NCD 220.6.20.",,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/J3411,"Injection, thiamine hcl, 100 mg",,,FALSE,C1314421,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20040101,0,O1E=Other drugs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9294,"Pathology report includes the pt category and a statement on thickness and ulceration and for pt1, mitotic rate",,,FALSE,C3710395,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3100,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf",,,FALSE,C3710514,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3070-L3100,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2007,"Limited (30 minutes) in-home visit for an existing patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)",,,FALSE,C5229043,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q5145,"Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg",,,FALSE,C5974443,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2106,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens",,,FALSE,C0500321,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2100-V2199,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4321,Therapeutic agent for urinary catheter irrigation,,,FALSE,C0497819,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S3708,Gastrointestinal fat absorption study,,,FALSE,C0203755,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/C7562,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed with intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention",,,FALSE,C5974098,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20250101,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,20250101,,YY,99=Value not established,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2204,"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches",,,FALSE,C1314336,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4138,"Biodfence dryflex, per square centimeter",,,FALSE,C3710560,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/M1298,Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter,,,FALSE,C5849235,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G8405,Lower extremity neurological exam not performed,,,FALSE,C1971251,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20080101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4368,"Ostomy filter, any type, each",,,FALSE,C0497847,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19970101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1670,"Injection, tetanus immune globulin, human, up to 250 units",,,FALSE,C0498891,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6380-L6388,Prosthetic Procedures - Upper Limb - Immediate and Early Postsurgical Procedures,,,FALSE,C0813093,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9401,"Anticoagulation clinic, inclusive of all services except laboratory tests, per session",,,FALSE,C1145339,http://purl.bioontology.org/ontology/STY/T093,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T093
http://purl.bioontology.org/ontology/HCPCS/J7121,"5% dextrose in lactated ringers infusion, up to 1000 cc",,,FALSE,C4067605,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,D=Special coverage instructions apply,20160101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7501-A7527,Tracheostomy Supplies,,,FALSE,C4316314,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J3420,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg",,,FALSE,C0499030,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,45-4,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C8936,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",,,FALSE,C2958900,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8931-C8937,N=No maintenance for this code,20101001,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20101001,,,A=Not applicable as HCPCS priced under one methodology,,20101001,,YY,53=Statute,,1833(t),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/J2405,"Injection, ondansetron hydrochloride, per 1 mg",,,FALSE,C0498947,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19930101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L2186,"Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type",,,FALSE,C0499564,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2180-L2192,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S8130,"Interferential current stimulator, 2 channel",,,FALSE,C3248678,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8096-S8210,N=No maintenance for this code,20120101,0,Z2=Undefined codes,I=Not payable by Medicare,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9520,Patient does not achieve final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery,,,FALSE,C5229140,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0038,Clinician determines patient does not require referral,,,FALSE,C5574464,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G2178,"Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure, for example patient bilateral amputee; patient has condition that would not allow them to accurately respond to a neurological exam (dementia, alzheimer's, etc.); patient has previously documented diabetic peripheral neuropathy with loss of protective sensation",,,FALSE,C5439692,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2298,"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type",,,FALSE,C5974148,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20240401,0,D1D=Wheelchairs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1051,"Patient had cancer, acute fracture or infection related to the lumbar spine or patient had neuromuscular, idiopathic or congenital lumbar scoliosis",,,FALSE,C4542771,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L0641,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf",,,FALSE,C3710489,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0641-L0642,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0443,"Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes",,,FALSE,C3248414,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0438-G0451,N=No maintenance for this code,20111014,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20111014,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9899,"Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed",,,FALSE,C4542734,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S2404,"Repair, myelomeningocele in the fetus, procedure performed in utero",,,FALSE,C0994118,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4000-L4210,Orthotic Device - Repairs,,,FALSE,C2729385,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L0100-L4999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2310,"Injection, naloxone hydrochloride, per 1 mg",,,FALSE,C0498938,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19960101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9600,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch",,,FALSE,C3534813,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9600-C9610,N=No maintenance for this code,20130101,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20130101,,,A=Not applicable as HCPCS priced under one methodology,,20200101,,YY,53=Statute,"0107=PAYMENT IS FOR HOSPITAL OUTPATIENT ONLY. NOT PAYABLE UNDER THE PHYSICIAN FEE SCHEDULE; IN ACCORDANCE WITH FR DATE 8/9/2002 (HOPPS), PAGE 52105.",1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A2015,"Phoenix wound matrix, per square centimeter",,,FALSE,C5765615,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20221001,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20221001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/C2596,"Probe, image-guided, robotic, waterjet ablation",,,FALSE,C5229003,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20230101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G1025,Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month,,,FALSE,C5574497,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G1000-G1028,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9595,"Patient has documentation of ventricular shunt, brain tumor, or coagulopathy",,,FALSE,C5229146,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J0895,"Injection, deferoxamine mesylate, 500 mg",,,FALSE,C0498820,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20010101,0,O1E=Other drugs,D=Special coverage instructions apply,19920101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",Q0087,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2183,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg",,,FALSE,C5974252,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9658,A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is not used,,,FALSE,C4067575,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J7513,"Daclizumab, parenteral, 25 mg",,,FALSE,C0694963,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,19990101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,,,,51=Drugs,,,1=Medical care|G=Immunosuppressive drugs,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1039,"Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds",,,FALSE,C1508806,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1031-E1039,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2291,"Back, planar, for pediatric size wheelchair including fixed attaching hardware",,,FALSE,C1508812,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9552,Incidental thyroid nodule < 1.0 cm noted in report,,,FALSE,C4067498,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1400,Patients who died during the follow-up period,,,FALSE,C5974347,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G2074,"Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)",,,FALSE,C5229065,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,M5D=Specialist - other,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9341,"Search conducted for prior patient ct studies completed at non-affiliated external healthcare facilities or entities within the past 12-months and are available through a secure, authorized, media-free, shared archive prior to an imaging study being performed",,,FALSE,C3710431,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4214,"Cellesta cord, per square centimeter",,,FALSE,C5229205,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/M1177,Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period,,,FALSE,C5974308,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J9261,"Injection, nelarabine, 50 mg",,,FALSE,C1741946,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20070101,0,O1E=Other drugs,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6000-L6037,Prosthetic Procedures - Partial Hand,,,FALSE,C0813086,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S0139,"Minoxidil, 10 mg",,,FALSE,C1314713,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2265,"Injection, minocycline hydrochloride, 1 mg",,,FALSE,C3248648,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,20170101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1281,"Blood pressure reading not documented, reason not given",,,FALSE,C5849209,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J9266,"Injection, pegaspargase, per single dose vial",,,FALSE,C0499146,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19960101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/B4220,"Parenteral nutrition supply kit; premix, per day",,,FALSE,C0497999,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4164-B5200,N=No maintenance for this code,20020101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19840101,65-10,,A=Not applicable as HCPCS priced under one methodology,2130|4450,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0500,"Filters for use with electric or electric/pneumatic ventricular assist device, replacement only",,,FALSE,C1621020,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5976,"All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal)",,,FALSE,C0499981,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A7523,"Tracheostomy shower protector, each",,,FALSE,C1314263,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7501-A7527,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q5118,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",,,FALSE,C5229221,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L7367,"Lithium ion battery, rechargeable, replacement",,,FALSE,C1145292,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7360-L7368,N=No maintenance for this code,20150101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C5276,"Application of low cost 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)",,,FALSE,C3685088,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20140101,0,P5A=Ambulatory procedures - skin,D=Special coverage instructions apply,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),2=Surgery|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0890,"Injection, peginesatide, 0.1 mg (for esrd on dialysis)",,,FALSE,C3534682,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20130101,0,O1E=Other drugs,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9051,"Injection, bortezomib (maia), not therapeutically equivalent to j9041, 0.1 mg",,,FALSE,C5884087,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20231001,0,O1D=Chemotherapy,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0428-G0429,Fillers,,,FALSE,C0729441,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/C9728,"Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperitoneum, thorax, single or multiple",,,FALSE,C1971568,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20100101,0,P5E=Ambulatory procedures - other,D=Special coverage instructions apply,20070701,,,A=Not applicable as HCPCS priced under one methodology,,20130101,,YY,53=Statute,,1833(T),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/H0049,Alcohol and/or drug screening,,,FALSE,C1743165,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20070101,0,Z2=Undefined codes,I=Not payable by Medicare,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G9896,Documentation of patient reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate,,,FALSE,C4542731,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E1902,"Communication board, non-electronic augmentative or alternative communication device",,,FALSE,C0993877,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1902-E2120,N=No maintenance for this code,20020101,0,Z2=Undefined codes,C=Carrier judgment,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,Behavioral Health and/or Substance Abuse Treatment Services,,,FALSE,C0994326,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000323,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0296,"Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress",,,FALSE,C0498431,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19920101,0,D1B=Hospital beds,D=Special coverage instructions apply,19910101,60-18,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8915,Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from asc,,,FALSE,C3534786,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120401,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E1632,"Wearable artificial kidney, each",,,FALSE,C0498664,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4359,"Choriply, per square centimeter",,,FALSE,C5979762,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Q9964,"High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml",,,FALSE,C1617366,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9950-Q9969,N=No maintenance for this code,20050701,0,I1E=Standard imaging - nuclear medicine,D=Special coverage instructions apply,20050701,,,A=Not applicable as HCPCS priced under one methodology,15022,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/G9813,Patient did not die within 30 days of the procedure or during the index hospitalization,,,FALSE,C4316143,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",,,FALSE,C3710517,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3650-L3678,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/STY/T196,"Element, Ion, or Isotope",,,FALSE,,,http://purl.bioontology.org/ontology/STY/T104,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T192,Receptor,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T123,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T197,Inorganic Chemical,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T104,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T194,Archaeon,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T001,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T190,Anatomical Abnormality,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T017,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T191,Neoplastic Process,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T047,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T195,Antibiotic,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T121,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/HCPCS/G0541,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes",,,FALSE,C5974174,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A2002,"Mirragen advanced wound matrix, per square centimeter",,,FALSE,C5574422,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20220101,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20220101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8921-C8930,Transthoracic and Transesophageal Echocardiography,,,FALSE,C4542560,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20C1000-C9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/S2080,Laser-assisted uvulopalatoplasty (laup),,,FALSE,C0994104,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2545,"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg",,,FALSE,C0498960,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20080101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,19920101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0127=PUBLICATION 100.2, CHAPTER 15, 50.1.",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L2132,"Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment",,,FALSE,C0499558,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2106-L2136,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C8923,"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, without spectral or color doppler echocardiography",,,FALSE,C1971558,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8921-C8930,N=No maintenance for this code,20090101,0,I3C=Echography/ultrasonography - heart,D=Special coverage instructions apply,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/Q0224,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, and are unlikely to mount an adequate immune response to covid-19 vaccination, 4500 mg",,,FALSE,C5974375,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0138-Q0249,N=No maintenance for this code,20240322,0,O1G=Immunizations/Vaccinations,C=Carrier judgment,20240322,,,A=Not applicable as HCPCS priced under one methodology,,,,,54=Vaccinations,,,"V=Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/T2019,"Habilitation, supported employment, waiver; per 15 minutes",,,FALSE,C1314619,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0455-K0605,"Infusion Pump, Supplies and Batteries",,,FALSE,C4550263,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20K0000-K9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G4027,Plastic surgery mips specialty set,,,FALSE,C5574530,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9694,Hospice services utilized by patient any time during the measurement period,,,FALSE,C5551242,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E1818,"Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories",,,FALSE,C0993874,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,C=Change in long description of procedure or modifier code,20250401,0,D1E=Other DME,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1308,"Influenza immunization was not administered, reason not given",,,FALSE,C5849224,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L1630,"Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated",,,FALSE,C0499487,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1600-L1690,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/K0839,"Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds",,,FALSE,C1741411,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1700,"Injection, hydrocortisone acetate, up to 25 mg",,,FALSE,C0498893,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L7902,"Tension ring, for vacuum erection device, any type, replacement only, each",,,FALSE,C3534671,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7900-L7902,N=No maintenance for this code,20160101,0,D1F=Prosthetic/Orthotic devices,S=Non-covered by Medicare statute,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1834a,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6950,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device",,,FALSE,C0500114,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6920-L6975,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9229,"Injection, inotuzumab ozogamicin, 0.1 mg",,,FALSE,C4542539,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5215,"Hearing aid, contralateral routing system, binaural, itc/bte",,,FALSE,C4746519,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20190101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8734,"Elder maltreatment screen documented as negative, follow-up is not required",,,FALSE,C3248476,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6890-L6915,Prosthetic Procedures - Hand Restoration,,,FALSE,C0813104,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2020-V2025,Vision Services - Frames,,,FALSE,C0813132,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20V0000-V2999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1306,Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period,,,FALSE,C5849237,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0650,"Pneumatic compressor, non-segmental home model",,,FALSE,C0498483,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0650-E0677,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-16,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0310,"Bed side rails, full length",,,FALSE,C0498434,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19900101,0,D1B=Hospital beds,D=Special coverage instructions apply,19860101,60-18,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6624,"Upper extremity addition, flexion/extension and rotation wrist unit",,,FALSE,C1743179,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9133,"Oncology; disease status; prostate cancer, limited to adenocarcinoma; hormone-responsive; clinical metastases or m1 at diagnosis (for use in a medicare-approved demonstration project)",,,FALSE,C1971325,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L2430,"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint",,,FALSE,C0499597,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2405-L2492,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19970101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S4028,Microsurgical epididymal sperm aspiration (mesa),,,FALSE,C0994142,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T2048,"Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem",,,FALSE,C1314647,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1208,"Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety",,,FALSE,C5771707,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G4028,Podiatry mips specialty set,,,FALSE,C5574531,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1192,Patients with an existing diagnosis of squamous cell carcinoma of the esophagus,,,FALSE,C5771697,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9276,Documentation that patient is a current tobacco user,,,FALSE,C3710380,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0538,Atherosclerotic cardiovascular disease (ascvd) risk management services; clinical staff time; per calendar month,,,FALSE,C5974171,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C7532,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery, with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation",,,FALSE,C5771546,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P1G=Major procedure - other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S5010,"5% dextrose and 0.45% normal saline, 1000 ml",,,FALSE,C0919192,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4990-S5014,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S5145,"Foster care, therapeutic, child; per diem",,,FALSE,C1314570,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9109,"Oncology; disease status; head and neck cancer, limited to cancers of oral cavity, pharynx and larynx with squamous cell as predominant cell type; extent of disease initially established as t1-t2 and n0, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1617855,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9777,Patient did not receive at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively,,,FALSE,C4316176,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9413,"Patient not admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision",,,FALSE,C3871319,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/T2018,"Habilitation, supported employment, waiver; per diem",,,FALSE,C1314618,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2103,"Non-adjunctive, non-implanted continuous glucose monitor or receiver",,,FALSE,C5771579,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1902-E2120,N=No maintenance for this code,20230101,0,D1E=Other DME,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0492,"Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal and coronal planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment",,,FALSE,C1314452,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0224,"Injection, lumasiran, 0.5 mg",,,FALSE,C5551013,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20210701,0,O1E=Other drugs,C=Carrier judgment,20210701,,,A=Not applicable as HCPCS priced under one methodology,,20210701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4114,"Integra flowable wound matrix, injectable, 1 cc",,,FALSE,C2368510,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L2240,"Addition to lower extremity, round caliper and plate attachment",,,FALSE,C0499572,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7200,"Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu",,,FALSE,C3871377,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20150101,0,O1E=Other drugs,D=Special coverage instructions apply,20150101,,,A=Not applicable as HCPCS priced under one methodology,2049,20150101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9324,"Injection, pemetrexed (pemrydi rtu), 10 mg",,,FALSE,C5884105,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9779,Patients who are breastfeeding at any time during the performance period,,,FALSE,C4316174,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/M1236,Baseline mrs > 2,,,FALSE,C5884141,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q5003,Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf),,,FALSE,C1741958,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5001-Q5010,N=No maintenance for this code,20070101,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0133=SEE ONLINE MANUAL 100-02.9.,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9810,"Home therapy; professional pharmacy services for provision of infusion, specialty drug administration, and/or disease state management, not otherwise classified, per hour (do not use this code with any per diem code)",,,FALSE,C0994269,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9490-S9810,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2631,Iris supported intraocular lens,,,FALSE,C0500407,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2630-V2632,N=No maintenance for this code,20141001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,56=IOL's inserted in a physician's office (eff 10/1/2014),,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9679,This code is for onsite acute care treatment of a nursing facility resident with pneumonia; may only be billed once per day per beneficiary,,,FALSE,C4316245,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20161001,0,Z2=Undefined codes,C=Carrier judgment,20161001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0422-G0423,Cardiac and Pulmonary Rehabilitation,,,FALSE,C4542587,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A7044,"Oral interface used with positive airway pressure device, each",,,FALSE,C1144996,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S2403,"Repair, extralobar pulmonary sequestration in the fetus, procedure performed in utero",,,FALSE,C0994117,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0118,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist,,,FALSE,C0993882,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0117-G0124,N=No maintenance for this code,20020101,0,T2D=Other tests - other,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/C1600,"Catheter, transluminal intravascular lesion preparation device, bladed, sheathed (insertable)",,,FALSE,C5883961,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1052-C1715,N=No maintenance for this code,20240101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,53=Statute,,1833(T),F=Ambulatory surgical center (facility usage for surgical services)|S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0210,"Injection, methyldopate hcl, up to 250 mg",,,FALSE,C0498752,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20140101,0,O1E=Other drugs,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6632,"Upper extremity addition, latex suspension sleeve, each",,,FALSE,C0500036,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6525,"Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each",,,FALSE,C5883888,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1161,"Manual adult size wheelchair, includes tilt in space",,,FALSE,C1145110,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1130-E1161,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0081,"Infusion therapy, using other than chemotherapeutic drugs, per visit",,,FALSE,C0500259,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0081-Q0081,N=No maintenance for this code,19960101,0,P6C=Minor procedures - other (Medicare fee schedule),D=Special coverage instructions apply,19920101,60-14,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0041=SEE MEDICARE INTERMEDIARY MANUAL SECTION 3112.4 (Q0081, Q0083, Q0084, Q0085).",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8712,Antibiotic not prescribed or dispensed,,,FALSE,C3248456,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J1790,"Injection, droperidol, up to 5 mg",,,FALSE,C0498903,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J3244,"Injection, tigecycline (accord), not therapeutically equivalent to j3243, 1 mg",,,FALSE,C5771633,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3455,"Heel, new leather, standard",,,FALSE,C0499705,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3430-L3485,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9957,"Documentation of medical reason for not receiving combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively (e.g., intolerance or other medical reason)",,,FALSE,C4542777,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9753,"Documentation of medical reason for not conducting a search for dicom format images for prior patient ct imaging studies completed at non-affiliated external healthcare facilities or entities within the past 12 months that are available through a secure, authorized, media-free, shared archive (e.g., trauma, acute myocardial infarction, stroke, aortic aneurysm where time is of the essence)",,,FALSE,C4316196,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,Wound Supplies,,,FALSE,C5574413,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1385,"Documentation of patient reasons for patients who were not seen for the second pam survey (e.g., less than four months between baseline pam assessment and follow-up",,,FALSE,C5974333,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1316,Current tobacco non-user,,,FALSE,C5849201,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0161,"Services performed by a qualified speech-language pathologist, in the home health setting, in the establishment or delivery of a safe and effective speech-language pathology maintenance program, each 15 minutes",,,FALSE,C2958943,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20110101,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1367,"Quality care for the treatment of ear, nose, and throat disorders mips value pathway",,,FALSE,C5884226,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4490,"Surgical stockings above knee length, each",,,FALSE,C0497861,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2100|2079,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9393,Patient with an initial phq-9 score greater than nine who achieves remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score of less than five,,,FALSE,C3871303,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S9325,"Home infusion therapy, pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (do not use this code with s9326, s9327 or s9328)",,,FALSE,C0994210,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0112-L0174,Cervical Orthotics,,,FALSE,C4542619,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L0100-L4999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5985,"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon",,,FALSE,C0499988,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19960101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S2068,"Breast reconstruction with deep inferior epigastric perforator (diep) flap or superficial inferior epigastric artery (siea) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral",,,FALSE,C1616859,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20070701,0,Z2=Undefined codes,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S5162,Emergency response system; purchase only,,,FALSE,C1314576,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0930,"Fracture frame, free standing, includes weights",,,FALSE,C0498526,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,19890101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8420,"Prosthetic sock, multiple ply, below knee, each",,,FALSE,C0500173,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8400-L8485,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2133,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9228,"Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings)",,,FALSE,C3710332,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A9615,"Injection, pegulicianine, 1 mg",,,FALSE,C5974090,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1100,"Injection, dexamethasone sodium phosphate, 1 mg",,,FALSE,C0498835,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20010101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7182,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu",,,FALSE,C3871376,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,20170101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1777,"Lead, cardioverter-defibrillator, endocardial single coil (implantable)",,,FALSE,C0993764,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0160-E0162,Sitz Bath/Equipment,,,FALSE,C4542570,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0534,"Coordinated care and/or referral services, such as to adequate and accessible community resources to address unmet health-related social needs, including harm reduction interventions and recovery support services a patient needs and wishes to pursue, which significantly limit the ability to diagnose or treat an opioid use disorder; each additional 30 minutes of services (provision of the services by a medicare-enrolled opioid treatment program); (list separately in addition to each primary code)",,,FALSE,C5974167,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5500-A5514,"Diabetic Shoes, Fitting, and Modifications",,,FALSE,C0812889,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9939,Pathologists/dermatopathologists is the same clinician who performed the biopsy,,,FALSE,C4542767,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4413,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each",,,FALSE,C1144921,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3600,"Transfer of an orthosis from one shoe to another, caliper plate, existing",,,FALSE,C0499722,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3600-L3649,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7259-L7259,Prosthetic Procedures - Upper Limb - Wrist,,,FALSE,C5228983,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7507,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) using mechanical device (e.g., kyphoplasty), unilateral or bilateral cannulations, inclusive of all imaging guidance",,,FALSE,C5771521,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P3D=Major procedure - orthopedic - other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7110,"Infusion, dextran 75, 500 ml",,,FALSE,C0499055,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4261,"Tag, per square centimeter",,,FALSE,C5771718,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20220701,0,O1E=Other drugs,C=Carrier judgment,20220701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A2014,"Omeza collagen matrix, per 100 mg",,,FALSE,C5765362,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20221001,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20221001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9629,"Documented medical reasons for not reporting bowel injury (e.g., gynecologic or other pelvic malignancy documented, planned (e.g., not due to an unexpected bowel injury) resection and/or re-anastomosis of bowel, or patient death from non-medical causes not related to surgery, patient died during procedure without evidence of bowel injury)",,,FALSE,C4316247,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J7682,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams",,,FALSE,C0812747,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4256,"Normal, low and high calibrator solution / chips",,,FALSE,C0497800,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20020101,0,D1E=Other DME,D=Special coverage instructions apply,19850101,60-11,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8566,"Patient is not eligible for the ""referral for otologic evaluation for sudden or rapidly progressive hearing loss"" measure",,,FALSE,C2729208,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20100101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other",,,FALSE,C1314327,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,C=Change in long description of procedure or modifier code,20250401,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0401,"Injection, aripiprazole (abilify maintena), 1 mg",,,FALSE,C5974218,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,20140101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2599,"Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit",,,FALSE,C5884075,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0265,"Genetic counseling, under physician supervision, each 15 minutes",,,FALSE,C1621026,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20050701,0,Z2=Undefined codes,I=Not payable by Medicare,20050701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2350,"Injection, ocrelizumab, 1 mg",,,FALSE,C4542696,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,20180101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S2402,"Repair, congenital cystic adenomatoid malformation in the fetus, procedure performed in utero",,,FALSE,C0994116,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2247,"Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg",,,FALSE,C5771623,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0447,"Face-to-face behavioral counseling for obesity, 15 minutes",,,FALSE,C3248418,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0438-G0451,N=No maintenance for this code,20111129,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20111129,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1052,Leg pain was not measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively,,,FALSE,C5229188,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G8855,"Adherence to therapy was not assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available), reason not given",,,FALSE,C5884012,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20240101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J7060,5% dextrose/water (500 ml = 1 unit),,,FALSE,C0499050,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A7010,"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet",,,FALSE,C0499306,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20000101,0,D1E=Other DME,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1748,"Injection, infliximab-dyyb (zymfentra), 10 mg",,,FALSE,C5974247,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0650-E0677,Pneumatic Compressor and Appliances,,,FALSE,C0812961,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0462,"Temporary replacement for patient owned equipment being repaired, any type",,,FALSE,C0812754,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0455-K0605,N=No maintenance for this code,19980701,0,D1E=Other DME,D=Special coverage instructions apply,19980701,,,A=Not applicable as HCPCS priced under one methodology,5102.3,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9452,"Nutrition classes, non-physician provider, per session",,,FALSE,C1145349,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6228,"Gauze, impregnated, water or normal saline, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",,,FALSE,C0520186,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0316,"Safety enclosure frame/canopy for use with hospital bed, any type",,,FALSE,C0993856,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,20020101,0,D1B=Hospital beds,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0166,"External counterpulsation, per treatment session",,,FALSE,C0812724,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20000101,0,P6C=Minor procedures - other (Medicare fee schedule),D=Special coverage instructions apply,20000101,35-74,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,"0078=PROGRAM MEMORANDUM AB-99-51, JULY 1999.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S0170,"Anastrozole, oral, 1 mg",,,FALSE,C0994054,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2410,"Variable asphericity lens, single vision, full field, glass or plastic, per lens",,,FALSE,C0500379,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2410-V2499,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19840101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K0043,"Footrest, lower extension tube, replacement only, each",,,FALSE,C0499202,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/K0002,Standard hemi (low seat) wheelchair,,,FALSE,C0499163,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,19940101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,http://purl.bioontology.org/ontology/HCPCS/E1085|http://purl.bioontology.org/ontology/HCPCS/E1086,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7519,"Injection, mycophenolate mofetil, 10 mg",,,FALSE,C5884085,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20231001,0,O1E=Other drugs,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,20231001,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2500,"Contact lens, pmma, spherical, per lens",,,FALSE,C0500382,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2500-V2599,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J2502,"Injection, pasireotide long acting, 1 mg",,,FALSE,C4067409,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K1030-K1037,Temporary Codes Assigned to DME Regional Carriers - Self-administered test,,,FALSE,C5771746,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20K0000-K9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/A4911,"Drain bag/bottle, for dialysis, each",,,FALSE,C0993705,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1309,Palliative care services provided to patient any time during the measurement period,,,FALSE,C5848597,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C2613,Lung biopsy plug with delivery system,,,FALSE,C4067399,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20180101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20150701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),9=Other medical items or services|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7522,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheterization, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress",,,FALSE,C5771536,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P2F=Major procedure - cardiovascular - Other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,Therapeutic Services and Supplies,,,FALSE,C4542563,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20C1000-C9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A9597,"Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified",,,FALSE,C4316284,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20170101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/M1200,Ace inhibitor (ace-i) or arb therapy prescribed during the measurement period,,,FALSE,C5771702,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V5120,"Binaural, body",,,FALSE,C0500439,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,19950101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9705,Ajcc breast cancer stage i: t1b (tumor > 0.5 cm but <= 1 cm in greatest dimension) documented,,,FALSE,C4316226,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J7192,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified",,,FALSE,C0499061,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20100101,0,O1E=Other drugs,D=Special coverage instructions apply,19940101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/P9039,"Red blood cells, deglycerolized, each unit",,,FALSE,C0919119,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20010101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2455,,,,52=Reasonable charge,,,"0=Whole blood only eff 01/96, whole blood or packed red cells before 01/96",,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/V5285,"Assistive listening device, personal fm/dm, direct audio input receiver",,,FALSE,C3534649,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5268-V5290,N=No maintenance for this code,20130101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862a7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S4989,"Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies",,,FALSE,C0994147,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4320,"Pellograft, per square centimeter",,,FALSE,C5974397,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5200-L5230,Prosthetic Procedures - Above Knee,,,FALSE,C0813066,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0840,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram",,,FALSE,C3248644,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20120101,0,O1E=Other drugs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,20120101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A5510,"For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe",,,FALSE,C0993709,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5500-A5514,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20020101,,,A=Not applicable as HCPCS priced under one methodology,2134,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,J=Diabetic shoes (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8404,Lower extremity neurological exam performed and documented,,,FALSE,C1971250,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20080101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4649,Surgical supply; miscellaneous,,,FALSE,C0497896,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4648-A4652,N=No maintenance for this code,19980101,0,D1A=Medical/surgical supplies,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5682,"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded",,,FALSE,C0499920,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1333,Acute vitreous hemorrhage,,,FALSE,C5884197,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C9766,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(s), when performed",,,FALSE,C5439653,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20200701,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20200701,,YY,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A0100,Non-emergency transportation; taxi,,,FALSE,C0497715,http://purl.bioontology.org/ontology/STY/T057,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20030101,0,O1A=Ambulance,I=Not payable by Medicare,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T057
http://purl.bioontology.org/ontology/HCPCS/A4300,"Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access",,,FALSE,C0497807,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4300-A4301,N=No maintenance for this code,20020101,0,Y1=Other - Medicare fee schedule,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,11=Price established using national RVU's,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P9043,"Infusion, plasma protein fraction (human), 5%, 50 ml",,,FALSE,C0919123,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20010101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2455B,,,,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/T1025,"Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem",,,FALSE,C1145367,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8807,"Trans-abdominal or trans-vaginal ultrasound not performed for reasons documented by clinician (e.g., patient has a documented intrauterine pregnancy [iup])",,,FALSE,C3248543,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20240101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S9529,"Routine venipuncture for collection of specimen(s), single home bound, nursing home, or skilled nursing facility patient",,,FALSE,C0994262,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9490-S9810,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3209,"Surgical boot, each, child",,,FALSE,C0499662,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2079,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8961,Cardiac stress imaging test primarily performed on low-risk surgery patient for preoperative evaluation within 30 days preceding this surgery,,,FALSE,C3534749,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L8696,"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each",,,FALSE,C3871386,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8690-L9900,N=No maintenance for this code,20150101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0198=NCD 160.19.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6233,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing",,,FALSE,C0918322,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2998,"Injection, plasminogen, human-tvmh, 1 mg",,,FALSE,C5771632,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20220701,0,O1E=Other drugs,C=Carrier judgment,20220701,,,A=Not applicable as HCPCS priced under one methodology,,20220701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1110,"Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)",,,FALSE,C5551232,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0218,"Fluid circulating cold pad with pump, any type",,,FALSE,C4746301,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0200-E0239,N=No maintenance for this code,20190101,0,D1E=Other DME,D=Special coverage instructions apply,19970101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2100,Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period,,,FALSE,C5203682,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4242,"Amniocyte plus, per 0.5 cc",,,FALSE,C5439786,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J9196,"Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg",,,FALSE,C5884095,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20230401,,,A=Not applicable as HCPCS priced under one methodology,2049,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4124,"Oasis ultra tri-layer wound matrix, per square centimeter",,,FALSE,C3248669,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J0178,"Injection, aflibercept, 1 mg",,,FALSE,C3534685,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20130101,0,O1E=Other drugs,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,20130101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",,,FALSE,C1619407,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0510-Q0514,N=No maintenance for this code,20060101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",0129=MMA section 303(e).,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/A4601,"Lithium ion battery, rechargeable, for non-prosthetic use, replacement",,,FALSE,C3871238,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20150101,0,D1E=Other DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8478,"Blood pressure measurement not performed or documented, reason not given",,,FALSE,C1971316,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A5200,"Percutaneous catheter/tube anchoring device, adhesive skin attachment",,,FALSE,C0694923,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5102-A5200,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19990101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1217,"Documentation of system reason(s) for not documenting and reviewing spirometry results (e.g., spirometry equipment not available at the time of the encounter)",,,FALSE,C5884124,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J9270,"Injection, plicamycin, 2.5 mg",,,FALSE,C0499148,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20230101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0182,"Pump for alternating pressure pad, for replacement only",,,FALSE,C0182538,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0181-E0199,N=No maintenance for this code,20070101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,4107.6,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2035,"Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment",,,FALSE,C0520222,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2000-L2038,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19980101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2038,"Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated",,,FALSE,C0499539,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2000-L2038,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4461,"Surgical dressing holder, non-reusable, each",,,FALSE,C1737741,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20070101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3761,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf",,,FALSE,C4542798,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3702-L3766,N=No maintenance for this code,20180101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2850,"Addition to lower extremity orthosis, femoral length sock, fracture or equal, each",,,FALSE,C0499635,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2750-L2999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1732,"Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping",,,FALSE,C0993742,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6561,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, custom, each",,,FALSE,C5883903,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9278,"Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system",,,FALSE,C1971398,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20230101,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9988,Services provided as part of a phase i clinical trial,,,FALSE,C1509101,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9900-S9999,N=No maintenance for this code,20040401,0,Z2=Undefined codes,I=Not payable by Medicare,20040401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J8610,"Methotrexate; oral, 2.5 mg",,,FALSE,C0499099,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,N=No maintenance for this code,19970831,0,O1D=Chemotherapy,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|G=Immunosuppressive drugs|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0952,"Toe loop/holder, any type, each",,,FALSE,C0498537,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4174,"Palingen or promatrx, 0.36 mg per 0.25 cc",,,FALSE,C4316078,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/S5130,"Homemaker service, nos; per 15 minutes",,,FALSE,C1314564,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0288,"Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery",,,FALSE,C1145156,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20060101,0,I2B=Advanced imaging - CAT/CT/CTA: other,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9788,Most recent bp is less than or equal to 140/90 mm hg,,,FALSE,C4316165,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E2326,"Power wheelchair accessory, breath tube kit for sip and puff interface",,,FALSE,C1314347,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1060,Patient died prior to the end of the performance period,,,FALSE,C4746468,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L1680,"Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated",,,FALSE,C0499491,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1600-L1690,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L1050,"Addition to ctlso or scoliosis orthosis, sternal pad",,,FALSE,C0499460,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1000-L1120,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0147,"Walker, heavy duty, multiple braking system, variable wheel resistance",,,FALSE,C0498364,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0130-E0155,N=No maintenance for this code,20040101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-15,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1229,"Patient, who has a reactive hcv antibody test, and has a follow up hcv viral test that detected hcv viremia, is referred within 1 month of the reactive hcv antibody test to a clinician who treats hcv infection",,,FALSE,C5884134,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9708,Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy,,,FALSE,C4316224,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S4016,"Frozen in vitro fertilization cycle, case rate",,,FALSE,C0994134,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L1860,"Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk)",,,FALSE,C0499515,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9075,"Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)",,,FALSE,C1618880,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1639,"Scale, each",,,FALSE,C0993869,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20180101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L7366,"Battery charger, twelve volt, each",,,FALSE,C0500144,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7360-L7368,N=No maintenance for this code,20080101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T2020,"Day habilitation, waiver; per diem",,,FALSE,C1314620,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5637,"Addition to lower extremity, below knee, total contact",,,FALSE,C0499882,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C8933,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents",,,FALSE,C2958897,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8931-C8937,N=No maintenance for this code,20101001,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20101001,,,A=Not applicable as HCPCS priced under one methodology,,20101001,,YY,53=Statute,,1833(t),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/Q4049,"Finger splint, static",,,FALSE,C0994044,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4203,"Derma-gide, per square centimeter",,,FALSE,C4746497,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/M1163,Patient had anaphylaxis due to the hpv vaccine any time on or before the patient's 13th birthday,,,FALSE,C5771674,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J2679,"Injection, fluphenazine hcl, 1.25 mg",,,FALSE,C5884076,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,D=Special coverage instructions apply,20240101,,,A=Not applicable as HCPCS priced under one methodology,2049,20250101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1141,"Functional status was not measured by the oxford knee score (oks) or the knee injury and osteoarthritis outcome score joint replacement (koos, jr.) at one year (9 to 15 months) postoperatively",,,FALSE,C5229189,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q9961,"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml",,,FALSE,C1618905,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9950-Q9969,N=No maintenance for this code,20050701,0,I1E=Standard imaging - nuclear medicine,D=Special coverage instructions apply,20050701,,,A=Not applicable as HCPCS priced under one methodology,15022,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5704-L5707,Prosthetic Procedures - Lower Limb - Protective Covers,,,FALSE,C4542632,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/RD,"Drug provided to beneficiary, but not administered ""incident-to""",,,FALSE,C1508833,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20040101,,,C=Carrier judgment,20040101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/RA,"Replacement of a dme, orthotic or prosthetic item",,,FALSE,C2368525,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20110101,,,C=Carrier judgment,20090101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/RE,Furnished in full compliance with fda-mandated risk evaluation and mitigation strategy (rems),,,FALSE,C2368527,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20090101,,,C=Carrier judgment,20090101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/RB,"Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair",,,FALSE,C2368526,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20110101,,,C=Carrier judgment,20090101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/RR,Rental (use the 'rr' modifier when dme is to be rented),,,FALSE,C0497684,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19840101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/RC,Right coronary artery,,,FALSE,C1261316,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19970101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/RI,Ramus intermedius coronary artery,,,FALSE,C3534821,http://purl.bioontology.org/ontology/STY/T023,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20130101,,,C=Carrier judgment,20130101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T023
http://purl.bioontology.org/ontology/HCPCS/RT,Right side (used to identify procedures performed on the right side of the body),,,FALSE,C0497685,http://purl.bioontology.org/ontology/STY/T082,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19840101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T082
http://purl.bioontology.org/ontology/HCPCS/P9060,"Fresh frozen plasma, donor retested, each unit",,,FALSE,C0918975,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20040101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,1833T,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/A4402,"Lubricant, per ounce",,,FALSE,C0497851,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,19950101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/G2075,"Medication assisted treatment, medication not otherwise specified; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program)",,,FALSE,C5229066,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,M5D=Specialist - other,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0024,"Principal illness navigation services, additional 30 minutes per calendar month (list separately in addition to g0023)",,,FALSE,C5884004,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0019-G0024,N=No maintenance for this code,20240101,0,M5D=Specialist - other,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",0230=THIS CODE SHOULD BE USED WITH G2067-G2080.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1067,Hospice services for patient provided any time during the measurement period,,,FALSE,C5551230,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L1230,"Addition to tlso, (low profile), milwaukee type superstructure",,,FALSE,C0499472,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1200-L1290,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2214,"Manual wheelchair accessory, pneumatic caster tire, any size, each",,,FALSE,C1617829,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4233,"Surfactor or nudyn, per 0.5 cc",,,FALSE,C5439777,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2402-E2402,Negative Pressure Devices,,,FALSE,C2368625,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8798,Specimen site other than anatomic location of prostate,,,FALSE,C3248535,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9291,"Specimen site other than anatomic location of lung, is not classified as non small cell lung cancer or classified as nsclc-nos",,,FALSE,C3710392,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G8539,Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment,,,FALSE,C2368473,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5D=Specialist - other,C=Carrier judgment,20090101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5000-L5020,Prosthetic Procedures - Partial Foot,,,FALSE,C0813062,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6517,"Gradient compression wrap with adjustable straps, below knee, each, custom",,,FALSE,C5979701,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,A=Add procedure or modifier code,20250401,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20250401,,,,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4301,"Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)",,,FALSE,C0497808,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4300-A4301,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,C=Carrier judgment,19960101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J3473,"Injection, hyaluronidase, recombinant, 1 usp unit",,,FALSE,C1737751,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20070101,0,O1E=Other drugs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9690,Patient receiving hospice services any time during the measurement period,,,FALSE,C4316236,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0341,"Percutaneous islet cell transplant, includes portal vein catheterization and infusion",,,FALSE,C1508976,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20041001,0,P1G=Major procedure - other,D=Special coverage instructions apply,20041001,260.3|35-82,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2193,Patients with clinical indications for imaging of the head: new onset headache in pre-school children or younger (<6 years of age),,,FALSE,C5439706,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0167,"Pail or pan for use with commode chair, replacement only",,,FALSE,C0498377,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0163-E0175,N=No maintenance for this code,20070101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G4003,Emergency medicine mips specialty set,,,FALSE,C5574506,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9521,Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months,,,FALSE,C4067472,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0574,Ultrasonic/electronic aerosol generator with small volume nebulizer,,,FALSE,C0918991,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0550-E0585,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0600,"Respiratory suction pump, home model, portable or stationary, electric",,,FALSE,C0498468,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0600-E0601,N=No maintenance for this code,20020101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1399,"Durable medical equipment, miscellaneous",,,FALSE,C0498642,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1352-E1406,N=No maintenance for this code,19960101,0,D1E=Other DME,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1000-L1120,Orthotic Devices: Scoliosis Procedures,,,FALSE,C0813017,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L0100-L4999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3230,"Orthopedic footwear, custom shoe, depth inlay, each",,,FALSE,C0499677,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0087,"Comprehensive (60 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)",,,FALSE,C4746317,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0068-G0090,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9149,National committee for quality assurance - level 2 medical home,,,FALSE,C3534711,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9148-G9153,N=No maintenance for this code,20110701,0,Z2=Undefined codes,C=Carrier judgment,20110701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4295,"Amnio tri-core amniotic, per square centimeter",,,FALSE,C5884263,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J1452,"Injection, fomivirsen sodium, intraocular, 1.65 mg",,,FALSE,C0919068,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20140101,0,O1E=Other drugs,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2049.3,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q3001,"Radioelements for brachytherapy, any type, each",,,FALSE,C0919148,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q3001-Q3001,N=No maintenance for this code,20050101,0,P7A=Oncology - radiation therapy,D=Special coverage instructions apply,20000701,,,A=Not applicable as HCPCS priced under one methodology,15022,,,,57=Other carrier priced,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3330,"Lift, elevation, metal extension (skate)",,,FALSE,C0499690,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3300-L3334,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2396,"Power wheelchair accessory, caster fork, any size, replacement only, each",,,FALSE,C1741401,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20070101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0954,"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot",,,FALSE,C4542703,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20180101,0,D1D=Wheelchairs,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0518,Sunglasses frames,,,FALSE,C0994092,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0500-S0596,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0849,"Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds",,,FALSE,C1741951,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0911,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis)",,,FALSE,C5974237,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,P9A=Dialysis services (Medicare fee schedule),C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,20240701,,YY,51=Drugs,,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1290,Patient not eligible due to active diagnosis of hypertension,,,FALSE,C5849229,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9916,Functional status performed once in the last 12 months,,,FALSE,C4542746,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G8850,"Positive airway pressure therapy not prescribed, reason not given",,,FALSE,C3248584,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4209,"Syringe with needle, sterile 5 cc or greater, each",,,FALSE,C0497780,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,20070101,0,D1A=Medical/surgical supplies,C=Carrier judgment,19850101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0489,"Power pack base for use with electric/pneumatic ventricular assist device, replacement only",,,FALSE,C1616851,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2395,"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each",,,FALSE,C1739980,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20070101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0947,"Fracture frame, attachments for complex pelvic traction",,,FALSE,C0498534,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,19890101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4381,"Ostomy pouch, urinary, for use on faceplate, plastic, each",,,FALSE,C0812609,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2184,Patient does not have a caregiver,,,FALSE,C0557466,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9735,"Patient unable to complete the shoulder fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available",,,FALSE,C4746376,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0675,"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system)",,,FALSE,C1314305,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0650-E0677,N=No maintenance for this code,20040101,0,D1E=Other DME,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4005,"Cast supplies, long arm cast, adult (11 years +), plaster",,,FALSE,C0994000,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9076,"Injection, cyclophosphamide (baxter), 5 mg",,,FALSE,C5974287,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20250101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20250101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0770,"Injection, colistimethate sodium, up to 150 mg",,,FALSE,C0498810,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0009,Administration of pneumococcal vaccine,,,FALSE,C0419707,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0008-G0013,N=No maintenance for this code,19960101,0,O1G=Immunizations/Vaccinations,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,54=Vaccinations,,,"V=Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/K0850,"Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds",,,FALSE,C1739991,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9024,Paranasal sinus ultrasound,,,FALSE,C0812839,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0970-L0999,Additions to Spinal Orthotics,,,FALSE,C5228960,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L0100-L4999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8513,"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each",,,FALSE,C1314474,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8500-L8515,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0044,"Footrest, upper hanger bracket, replacement only, each",,,FALSE,C0499203,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/J7351,"Injection, bimatoprost, intracameral implant, 1 microgram",,,FALSE,C5439749,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7330-J7402,N=No maintenance for this code,20201001,0,O1E=Other drugs,C=Carrier judgment,20201001,,,A=Not applicable as HCPCS priced under one methodology,,20201001,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9767,Hospitalized patients with newly diagnosed cva considered for endovascular stroke treatment,,,FALSE,C4316185,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/L3765,"Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",,,FALSE,C1621013,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3702-L3766,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9490-S9810,Temporary National Codes Established by Private Payers - Home Therapy Services,,,FALSE,C4542665,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20S0000-S9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5618-L5628,Prosthetic Procedures - Lower Limb - Additions to Test Sockets,,,FALSE,C0813078,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J3401,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10^9 pfu/ml vector genomes, per 0.1 ml",,,FALSE,C5884080,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5263,"Hearing aid, disposable, any type, binaural",,,FALSE,C0994312,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0656,"Segmental pneumatic appliance for use with pneumatic compressor, trunk",,,FALSE,C2368676,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0650-E0677,N=No maintenance for this code,20140401,0,D1E=Other DME,D=Special coverage instructions apply,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2690,"Injection, procainamide hcl, up to 1 gm",,,FALSE,C0498972,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S9504,"Home infusion therapy, antibiotic, antiviral, or antifungal; once every 4 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994261,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9490-S9810,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9560,"Home injectable therapy; hormonal therapy (e.g.; leuprolide, goserelin), including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994267,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9490-S9810,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J3472,"Injection, hyaluronidase, ovine, preservative free, per 1000 usp units",,,FALSE,C1616841,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20060101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0123=PUBLICATION 100.2, CHAPTER 15, SS 502.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6544,"Gradient compression stocking, garter belt",,,FALSE,C0500164,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20110101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20060101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2133,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0072=COMPRESSION LEVELS FOR PRODUCTS IDENTIFIED BY THESE CODES (L8100 - L8200) HAVE BEEN VALIDATED BY A ASTM/NAHM SANCTIONED INDEPENDENT TEST FACILITY.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9859,Patients who died from cancer,,,FALSE,C4316107,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6590-A6591,Urinary Catheters,,,FALSE,C0179802,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9246,Patient did not have two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart,,,FALSE,C5974202,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20250101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J0603,"Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis)",,,FALSE,C5974223,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5270,"Assistive listening device, television amplifier, any type",,,FALSE,C0994319,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5268-V5290,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6676,"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design",,,FALSE,C0500050,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2622,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each",,,FALSE,C0499613,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2570-L2680,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S5175,"Laundry service, external, professional; per order",,,FALSE,C1314579,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A5082,Continent device; catheter for continent stoma,,,FALSE,C0497954,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5051-A5093,N=No maintenance for this code,19900101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0549,"Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, including a verbal and written report to the patient's treating/requesting practitioner; 31 or more minutes of medical consultative discussion and review",,,FALSE,C5974182,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S2103,Adrenal tissue transplant to brain,,,FALSE,C0919174,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0110,"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips",,,FALSE,C0498351,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0110-E0118,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0877,"Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg",,,FALSE,C5771739,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9135,"Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; stage iii, iv, not relapsed, not refractory (for use in a medicare-approved demonstration project)",,,FALSE,C1971327,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",,,FALSE,C1618396,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4233-A4236,N=No maintenance for this code,20160101,0,D1E=Other DME,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2561,"Injection, phenobarbital sodium (sezaby), 1 mg",,,FALSE,C5884073,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S9990,Services provided as part of a phase ii clinical trial,,,FALSE,C0812870,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9900-S9999,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1280-E1298,Wheelchair: Heavy Duty,,,FALSE,C0499167,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2360,"Addition to lower extremity, extended steel shank",,,FALSE,C0499586,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G6011,"Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; up to 5 mev",,,FALSE,C0373375,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G6003-G6017,N=No maintenance for this code,20150101,0,P7A=Oncology - radiation therapy,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6516,"Gradient compression wrap with adjustable straps, foot, each, custom",,,FALSE,C5979700,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,A=Add procedure or modifier code,20250401,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20250401,,,,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P9071,"Plasma (single donor), pathogen reduced, frozen, each unit",,,FALSE,C4067622,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20160101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20160101,,,A=Not applicable as HCPCS priced under one methodology,2455B,,,,52=Reasonable charge,,1833T,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each",,,FALSE,C0497829,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A7025,"High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each",,,FALSE,C1144983,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20140401,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0508,"Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth",,,FALSE,C4316261,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0508-G0509,N=No maintenance for this code,20170101,0,M5D=Specialist - other,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0593,"Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered)",,,FALSE,C5229154,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q0175,"Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",,,FALSE,C0695000,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0138-Q0249,N=No maintenance for this code,19980401,0,O1D=Chemotherapy,D=Special coverage instructions apply,19980401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,4557,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9761,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable (must use a steerable ureteral catheter)",,,FALSE,C5439648,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20230101,0,P5E=Ambulatory procedures - other,D=Special coverage instructions apply,20201001,,,A=Not applicable as HCPCS priced under one methodology,,20201001,,YY,53=Statute,,1833(t),F=Ambulatory surgical center (facility usage for surgical services)|2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6310,"Shoulder disarticulation, passive restoration (complete prosthesis)",,,FALSE,C0500004,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6300-L6320,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1180,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests",,,FALSE,C0498597,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1170-E1200,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P9011,"Blood, split unit",,,FALSE,C0500239,http://purl.bioontology.org/ontology/STY/T031,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20070101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,19870101,,,A=Not applicable as HCPCS priced under one methodology,2455A,,,,52=Reasonable charge,,,"0=Whole blood only eff 01/96, whole blood or packed red cells before 01/96",,,,http://purl.bioontology.org/ontology/STY/T031
http://purl.bioontology.org/ontology/HCPCS/A7501,"Tracheostoma valve, including diaphragm, each",,,FALSE,C0918326,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7501-A7527,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5212,"Hearing aid, contralateral routing system, binaural, ite/itc",,,FALSE,C4746516,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20190101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5950,"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)",,,FALSE,C0499973,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4230,"Infusion set for external insulin pump, non needle cannula type",,,FALSE,C0497790,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,20000101,0,D1E=Other DME,D=Special coverage instructions apply,19960101,60-14,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5714,"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control",,,FALSE,C0499942,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5710-L5780,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0170,"Commode chair with integrated seat lift mechanism, electric, any type",,,FALSE,C1616354,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0163-E0175,N=No maintenance for this code,20060101,0,D1E=Other DME,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3140,"Foot, abduction rotation bar, including shoes",,,FALSE,C0499651,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3140-L3170,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1285,"Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified",,,FALSE,C5849210,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J9320,"Injection, streptozocin, 1 gram",,,FALSE,C0499154,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9727,Insertion of implants into the soft palate; minimum of three implants,,,FALSE,C1736933,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20061001,0,P6D=Minor procedures - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20061001,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(T),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4375,"Ostomy pouch, drainable, with faceplate attached, plastic, each",,,FALSE,C0812603,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2320,"Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only",,,FALSE,C0499581,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/K0857,"Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds",,,FALSE,C1741952,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0556,"Advanced primary care management services for a patient with one chronic condition [expected to last at least 12 months, or until the death of the patient, which place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline], or fewer, provided by clinical staff and directed by a physician or other qualified health care professional who is responsible for all primary care and serves as the continuing focal point for all needed health care services, per calendar month",,,FALSE,C5974189,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,"Advanced primary care management services for a patient with one chronic condition [expected to last at least 12 months, or until the death of the patient, which place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline], or fewer, provided by clinical staff and directed by a physician or other qualified health care professional who is responsible for all primary care and serves as the continuing focal point for all needed health care services, per calendar month, with the following elements, as appropriate: consent; ++ inform the patient of the availability of the service; that only one practitioner can furnish and be paid for the service during a calendar month; of the right to stop the services at any time (effective at the end of the calendar month); and that cost sharing may apply. ++ document in patient's medical record that consent was obtained. initiation during a qualifying visit for new patients or patients not seen within 3 years; provide 24/7 access for urgent needs to care team/practitioner, including providing patients/caregivers with a way to contact health care professionals in the practice to discuss urgent needs regardless of the time of day or day of week; continuity of care with a designated member of the care team with whom the patient is able to schedule successive routine appointments; deliver care in alternative ways to traditional office visits to best meet the patient's needs, such as home visits and/or expanded hours; overall comprehensive care management; ++ systematic needs assessment (medical and psychosocial). ++ system-based approaches to ensure receipt of preventive services. ++ medication reconciliation, management and oversight of self-management. development, implementation, revision, and maintenance of an electronic patient-centered comprehensive care plan with typical care plan elements when clinically relevant; ++ care plan is available timely within and outside the billing practice as appropriate to individuals involved in the beneficiary's care, can be routinely accessed and updated by care team/practitioner, and copy of care plan to patient/caregiver; coordination of care transitions between and among health care providers and settings, including referrals to other clinicians and follow-up after an emergency department visit and discharges from hospitals, skilled nursing facilities or other health care facilities as applicable; ++ ensure timely exchange of electronic health information with other practitioners and providers to support continuity of care. ++ ensure timely follow-up communication (direct contact, telephone, electronic) with the patient and/or caregiver after an emergency department visit and discharges from hospitals, skilled nursing facilities, or other health care facilities, within 7 calendar days of discharge, as clinically indicated. ongoing communication and coordinating receipt of needed services from practitioners, home- and community-based service providers, community-based social service providers, hospitals, and skilled nursing facilities (or other health care facilities), and document communication regarding the patient's psychosocial strengths and needs, functional deficits, goals, preferences, and desired outcomes, including cultural and linguistic factors, in the patient's medical record; enhanced opportunities for the beneficiary and any caregiver to communicate with the care team/practitioner regarding the beneficiary's care through the use of asynchronous non-face-to-face consultation methods other than telephone, such as secure messaging, email, internet, or patient portal, and other communication-technology based services, including remote evaluation of pre-recorded patient information and interprofessional telephone/internet/ehr referral service(s), to maintain ongoing communication with patients, as appropriate; ++ ensure access to patient-initiated digital communications that require a clinical decision, such as virtual check-ins and digital online assessment and management and e/m visits (or e-visits). analyze patient population data to identify gaps in care and offer additional interventions, as appropriate; risk stratify the practice population based on defined diagnoses, claims, or other electronic data to identify and target services to patients; be assessed through performance measurement of primary care quality, total cost of care, and meaningful use of certified ehr technology",,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L7403,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material",,,FALSE,C1618383,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7400-L7406,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4170,"Cygnus, per square centimeter",,,FALSE,C4316081,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J9020,"Injection, asparaginase, not otherwise specified, 10,000 units",,,FALSE,C3534674,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20160101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9878,"Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 7-9 under the mdpp expanded model (em). a core maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 7 through 12 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions.the beneficiary achieved at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 7-9",,,FALSE,C4746391,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180401,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20180401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V2307,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens",,,FALSE,C0500364,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J3400,"Injection, triflupromazine hcl, up to 20 mg",,,FALSE,C0499028,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3975-L3978,Shoulder-Elbow-Wrist-Hand-Finger Orthotics,,,FALSE,C4542630,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L3650-L3999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4231,"Infusion set for external insulin pump, needle type",,,FALSE,C0497791,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,20000101,0,D1E=Other DME,D=Special coverage instructions apply,19960101,60-14,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5969,"Addition, endoskeletal ankle-foot or ankle system, power assist, includes any type motor(s)",,,FALSE,C3710546,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6625,"Upper extremity addition, rotation wrist unit with cable lock",,,FALSE,C0500032,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6955,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device",,,FALSE,C0500115,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6920-L6975,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0051,"Cam release assembly, footrest or legrest, replacement only, each",,,FALSE,C0499210,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/S5140,"Foster care, adult; per diem",,,FALSE,C1314568,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1207,"Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety",,,FALSE,C5771706,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L8501,Tracheostomy speaking valve,,,FALSE,C0500184,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8500-L8515,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,65-16,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T4543,"Adult sized disposable incontinence product, protective brief/diaper, above extra large, each",,,FALSE,C3710575,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20140101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20070101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0710,"Restraints, any type (body, chest, wrist or ankle)",,,FALSE,C0337184,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0710-E0716,N=No maintenance for this code,19960101,0,Z2=Undefined codes,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0467,"Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions",,,FALSE,C4746303,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20190101,0,D1E=Other DME,D=Special coverage instructions apply,20190101,60.9,,A=Not applicable as HCPCS priced under one methodology,,,,,31=Frequently serviced DME (price subject to floors and ceilings),"0137=PUBLICATION 100-03, CHAPTER 1, SECTION 280.1 (100.03, 1, 280.1).",,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1270,"Addition to tlso, (low profile), abdominal pad",,,FALSE,C0499476,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1200-L1290,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6229,"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",,,FALSE,C0497971,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1700,Jaw motion rehabilitation system,,,FALSE,C0498669,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1700-E1702,N=No maintenance for this code,20140401,0,D1E=Other DME,C=Carrier judgment,19930101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J8655,"Netupitant 300 mg and palonosetron 0.5 mg, oral",,,FALSE,C4067404,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,N=No maintenance for this code,20190101,0,O1E=Other drugs,D=Special coverage instructions apply,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,51=Drugs,0204=NCD 110.18.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1950,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg",,,FALSE,C0498915,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9101,"Injection, oliceridine, 0.1 mg",,,FALSE,C5771572,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20221001,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20221001,,,A=Not applicable as HCPCS priced under one methodology,,20221001,,YY,53=Statute,,1833(t),1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4168,"Amnioband, 1 mg",,,FALSE,C4316083,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/V5249,"Hearing aid, analog, binaural, itc",,,FALSE,C0994298,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8417,"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each",,,FALSE,C0500172,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8400-L8485,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19970101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0145,"Injection, pegylated interferon alfa-2a, 180 mcg per ml",,,FALSE,C1618392,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20050701,0,Z2=Undefined codes,I=Not payable by Medicare,20050701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4023,"Cast supplies, short arm splint, pediatric (0-10 years), plaster",,,FALSE,C0994018,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4580,"Cast supplies (e.g., plaster)",,,FALSE,C0497869,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,19820101,0,D1A=Medical/surgical supplies,I=Not payable by Medicare,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2079,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/G0010,Administration of hepatitis b vaccine,,,FALSE,C0474232,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0008-G0013,N=No maintenance for this code,20231001,0,O1G=Immunizations/Vaccinations,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,54=Vaccinations,,,"V=Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C9726,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure",,,FALSE,C1737204,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20140101,0,P7A=Oncology - radiation therapy,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9384,"Documentation of medical reason(s) for not receiving annual screening for hcv infection (e.g., decompensated cirrhosis indicating advanced disease [i.e., ascites, esophageal variceal bleeding, hepatic encephalopathy], hepatocellular carcinoma, waitlist for organ transplant, limited life expectancy, other medical reasons)",,,FALSE,C3854121,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4438,"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each",,,FALSE,C5974078,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20240401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9682,This code is for the onsite acute care treatment a nursing facility resident with a skin infection; may only be billed once per day per beneficiary,,,FALSE,C4316242,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20161001,0,Z2=Undefined codes,C=Carrier judgment,20161001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3251,"Foot, shoe molded to patient model, silicone shoe, each",,,FALSE,C0499679,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2312,"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware",,,FALSE,C1971044,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2070,"Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated",,,FALSE,C0499544,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2040-L2090,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0190,"Injection, biperiden lactate, per 5 mg",,,FALSE,C0498750,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0988,"Manual wheelchair accessory, lever-activated, wheel drive, pair",,,FALSE,C3248405,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20120101,0,D1D=Wheelchairs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1422,Gastroenterology care mips value pathway,,,FALSE,C5974369,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",,,FALSE,C1144989,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0162,Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting),,,FALSE,C2958944,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20110101,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9998,"Documentation of medical reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., last colonoscopy incomplete, last colonoscopy had inadequate prep, piecemeal removal of adenomas, or sessile serrated polyps >= 20 mm in size, last colonoscopy found greater than 10 adenomas, lower gastrointestinal bleeding, or patient at high risk for colon cancer due to underlying medical history ([i.e. crohn's disease, ulcerative colitis, personal or family history of colon cancer, hereditary colorectal cancer syndromes])",,,FALSE,C5574550,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J9321,"Injection, epcoritamab-bysp, 0.16 mg",,,FALSE,C5848457,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240101,0,O1D=Chemotherapy,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0383,"Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)",,,FALSE,C1743164,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0378-G0384,N=No maintenance for this code,20080101,0,M3=Emergency room visit,C=Carrier judgment,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0435,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening",,,FALSE,C2958953,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0432-G0435,N=No maintenance for this code,20101001,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,20091208,,140=Virology|220=General immunology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,0164=SEE CHANGE REQUEST 6786.,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4930,"Gloves, sterile, per pair",,,FALSE,C1144954,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1414,"Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose",,,FALSE,C5974110,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1990,"Injection, chlordiazepoxide hcl, up to 100 mg",,,FALSE,C0498920,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0022,"Community health integration services, each additional 30 minutes per calendar month (list separately in addition to g0019)",,,FALSE,C5884002,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0019-G0024,N=No maintenance for this code,20240101,0,M5D=Specialist - other,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0274,Over-bed table,,,FALSE,C0183811,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19890101,0,D1B=Hospital beds,M=Non-covered by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9293,"Fertility cycle (contraception & conception) tracking software application, fda cleared, per month, includes accessories (e.g., thermometer)",,,FALSE,C5974088,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20240401,0,Z2=Undefined codes,C=Carrier judgment,20240401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M0250,"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose",,,FALSE,C5574599,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210624,0,O1G=Immunizations/Vaccinations,C=Carrier judgment,20210624,,,A=Not applicable as HCPCS priced under one methodology,,,,,54=Vaccinations,,,"V=Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L7364,"Twelve volt battery, each",,,FALSE,C0500143,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7360-L7368,N=No maintenance for this code,20080101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8440,"Prosthetic shrinker, below knee, each",,,FALSE,C0500176,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8400-L8485,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2133,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S8120,"Oxygen contents, gaseous, 1 unit equals 1 cubic foot",,,FALSE,C1314597,http://purl.bioontology.org/ontology/STY/T167,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8096-S8210,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T167
http://purl.bioontology.org/ontology/HCPCS/C1765,Adhesion barrier,,,FALSE,C0993756,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20010701,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2213,"Initiation of medication for the treatment of opioid use disorder in the emergency department setting, including assessment, referral to ongoing care, and arranging access to supportive services (list separately in addition to code for primary procedure)",,,FALSE,C5439725,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9113,"Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic stage ia-b (grade 1) without evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1619390,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0257,Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility,,,FALSE,C1145132,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20030101,0,P6D=Minor procedures - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0107=PAYMENT IS FOR HOSPITAL OUTPATIENT ONLY. NOT PAYABLE UNDER THE PHYSICIAN FEE SCHEDULE; IN ACCORDANCE WITH FR DATE 8/9/2002 (HOPPS), PAGE 52105.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T4523,"Adult sized disposable incontinence product, brief/diaper, large, each",,,FALSE,C1509105,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20050101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1845,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710508,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6455,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard",,,FALSE,C1314257,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6413-A6461,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2793,"Injection, rilonacept, 1 mg",,,FALSE,C2729282,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,D=Special coverage instructions apply,20100101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9760,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, trans-esophageal echocardiography (tee)/intracardiac echocardiography (ice), and all imaging with or without guidance (e.g., ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study",,,FALSE,C5439647,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20210101,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7042,5% dextrose/normal saline (500 ml = 1 unit),,,FALSE,C0499047,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/P9054,"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit",,,FALSE,C1314480,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20040101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,1833T,"0=Whole blood only eff 01/96, whole blood or packed red cells before 01/96",,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/K0858,"Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds",,,FALSE,C1739992,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7527,"Everolimus, oral, 0.25 mg",,,FALSE,C3534677,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20140101,0,O1G=Immunizations/Vaccinations,D=Special coverage instructions apply,20130101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,,,,51=Drugs,,,1=Medical care|G=Immunosuppressive drugs,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T1017,"Targeted case management, each 15 minutes",,,FALSE,C1145360,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20020701,0,Z2=Undefined codes,I=Not payable by Medicare,20020701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4112,"Cymetra, injectable, 1 cc",,,FALSE,C2959314,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20110101,0,O1E=Other drugs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J1800,"Injection, propranolol hcl, up to 1 mg",,,FALSE,C0498904,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0951,"Heel loop/holder, any type, with or without ankle strap, each",,,FALSE,C0498536,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5987,"All lower extremity prosthesis, shank foot system with vertical loading pylon",,,FALSE,C0499990,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19970101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2101,Blood glucose monitor with integrated lancing/blood sample,,,FALSE,C0993880,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1902-E2120,N=No maintenance for this code,20020101,0,D1E=Other DME,D=Special coverage instructions apply,20020101,60-11,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4627,"Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler",,,FALSE,C0497886,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4611-A4629,N=No maintenance for this code,19970101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,19910101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2100,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A7016,"Dome and mouthpiece, used with small volume ultrasonic nebulizer",,,FALSE,C0499312,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20000101,0,D1E=Other DME,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4360,"Amchoplast fd, per square centimeter",,,FALSE,C5979763,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E0483,"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each",,,FALSE,C4722645,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20221001,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J3320,"Injection, spectinomycin dihydrochloride, up to 2 gm",,,FALSE,C0499019,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G4026,Physical therapy/occupational therapy mips specialty set,,,FALSE,C5574529,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J1290,"Injection, ecallantide, 1 mg",,,FALSE,C2959238,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20110101,0,O1E=Other drugs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,20110101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7177,"Injection, human fibrinogen concentrate (fibryga), 1 mg",,,FALSE,C4746415,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6576,"Gradient compression arm sleeve, custom, medium weight, each",,,FALSE,C5883917,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q5002,Hospice or home health care provided in assisted living facility,,,FALSE,C3710572,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5001-Q5010,N=No maintenance for this code,20130701,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0133=SEE ONLINE MANUAL 100-02.9.,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5710-L5780,Prosthetic Procedures - Additions to Exoskeletal Knee-Shin System,,,FALSE,C0813082,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1716-C1719,CMS Hospital Outpatient payment System - Brachytherapy Sources,,,FALSE,C4746264,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20C1000-C9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/G0153,"Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes",,,FALSE,C0812714,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20110101,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,19990701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0082=G0151-G0156 MAY BE BILLED ONLY FOR HOME HEALTH CARE SERVICES PROVIDED UNDER A PLAN OF CARE. SEE CR#588.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,Other Orthopedic Devices,,,FALSE,C0812979,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,Biosimilar Drugs,,,FALSE,C4542649,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/Q5137,"Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg",,,FALSE,C5974435,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4611,"Battery, heavy duty; replacement for patient owned ventilator",,,FALSE,C0497874,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4611-A4629,N=No maintenance for this code,20140101,0,D1E=Other DME,S=Non-covered by Medicare statute,19900101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1834a3A,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1307,Documentation stating the patient has received or is currently receiving palliative or hospice care,,,FALSE,C5849203,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L0631,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710486,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0628-L0640,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4287,"Dermabind dl, per square centimeter",,,FALSE,C5884255,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9423,"Documentation of medical reason for not including pt category, pn category and histologic type [for patient with appropriate exclusion criteria (e.g., metastatic disease, benign tumors, malignant tumors other than carcinomas, inadequate surgical specimens)]",,,FALSE,C4049130,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L8048,"Unspecified maxillofacial prosthesis, by report, provided by a non-physician",,,FALSE,C0919108,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8040-L8049,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6206,"Contact layer, sterile, 16 sq. in. or less, each dressing",,,FALSE,C0520031,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1610,"Injection, glucagon hydrochloride, per 1 mg",,,FALSE,C0498880,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K0743,"Suction pump, home model, portable, for use on wounds",,,FALSE,C3248658,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0669-K0746,N=No maintenance for this code,20110701,0,D1E=Other DME,C=Carrier judgment,20110701,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1368,Prevention and treatment of infectious disorders including hepatitis c and hiv mips value pathway,,,FALSE,C5884227,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1373,Most recent glycemic status assessment (hba1c or gmi) level >= 8.0% and <= 9.0%,,,FALSE,C5974321,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3080,"Foot, arch support, non-removable attached to shoe, metatarsal, each",,,FALSE,C0499648,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3070-L3100,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0398-G0400,Home Sleep Study Test,,,FALSE,C2729336,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A4773,"Occult blood test strips, for dialysis, per 50",,,FALSE,C0497916,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6251,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",,,FALSE,C0520059,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0090,"Professional services, initial visit, for the administration of intravenous chemotherapy or other highly complex infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes",,,FALSE,C5439667,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0068-G0090,N=No maintenance for this code,20210101,0,M4A=Home visit,D=Special coverage instructions apply,20210101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,"0223=THESE G CODES ARE ASSOCIATED WITH A NEW PART B BENEFIT CATEGORY ESTABLISHED BY THE FOLLOWING SECTIONS IN THE SOCIAL SECURITY ACT: 1861(s)(2)(GG), 1861(iii), 1834(u).",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G8969,"Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g., patient preference for not receiving anticoagulation)",,,FALSE,C4542714,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20220101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7315,"Mitomycin, ophthalmic, 0.2 mg",,,FALSE,C3710459,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7311-J7316,N=No maintenance for this code,20160101,0,O1E=Other drugs,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0957,"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each",,,FALSE,C1314308,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8511,"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each",,,FALSE,C1314472,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8500-L8515,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9017,"Injection, arsenic trioxide, 1 mg",,,FALSE,C0993960,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9777,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy",,,FALSE,C5574452,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20220101,0,P8B=Endoscopy - upper gastrointestinal,D=Special coverage instructions apply,20210401,,,A=Not applicable as HCPCS priced under one methodology,,20220101,,YY,53=Statute,,1833(t),F=Ambulatory surgical center (facility usage for surgical services)|2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/Q4285,"Nudyn dl or nudyn dl mesh, per square centimeter",,,FALSE,C5884253,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20231001,0,O1E=Other drugs,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Q4229,"Cogenex amniotic membrane, per square centimeter",,,FALSE,C5439773,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G8474,"Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy not prescribed for reasons documented by the clinician (e.g., allergy, intolerance, pregnancy, renal failure due to ace inhibitor, diseases of the aortic or mitral valve, other medical reasons) or (e.g., patient declined, other patient reasons)",,,FALSE,C1971312,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20240101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0241,"Bath tub wall rail, each",,,FALSE,C0498405,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0240-E0248,N=No maintenance for this code,19960101,0,D1E=Other DME,M=Non-covered by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2100.1,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0942,Cervical head harness/halter,,,FALSE,C0498530,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,19860101,0,D1E=Other DME,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/B4164,"Parenteral nutrition solution: carbohydrates (dextrose), 50% or less (500 ml = 1 unit) - home mix",,,FALSE,C0497986,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4164-B5200,N=No maintenance for this code,20020101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19860101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",,,FALSE,C0499632,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2750-L2999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0625-L0627,Lumbar Orthotics,,,FALSE,C0492096,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L0100-L4999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1801,"Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories",,,FALSE,C0993870,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,C=Change in long description of procedure or modifier code,20250401,0,D1E=Other DME,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8630-L8659,Prosthetic Implants - Hand and Foot,,,FALSE,C4542645,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L8500-L9900,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0472,"Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral pads with straps and closures, limits spinal flexion, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment",,,FALSE,C1145263,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2368,"Power wheelchair component, drive wheel motor, replacement only",,,FALSE,C1508922,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20160701,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1599,"Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg",,,FALSE,C2959250,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20110101,0,O1E=Other drugs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9557,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries",,,FALSE,C1617313,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/S9982,"Medical records copying fee, per page",,,FALSE,C0994271,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9900-S9999,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/J2325,"Injection, nesiritide, 0.1 mg",,,FALSE,C1616331,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1199,Patients receiving rrt,,,FALSE,C5771701,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1286,"Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason",,,FALSE,C5849197,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G8914,Patient documented to have experienced a hospital transfer or hospital admission upon discharge from asc,,,FALSE,C3534787,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120401,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,"Administrative, Miscellaneous and Investigational - Miscellaneous Supplies",,,FALSE,C4542551,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A9000-A9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/S9357,"Home infusion therapy, enzyme replacement intravenous therapy; (e.g., imiglucerase); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994232,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S5561,"Insulin delivery device, reusable pen; 3 ml size",,,FALSE,C1314590,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5550-S5571,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6712,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric",,,FALSE,C1971365,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6700-L6882,N=No maintenance for this code,20090101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1236,"Wheelchair, pediatric size, folding, adjustable, with seating system",,,FALSE,C1145116,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1229-E1239,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,D=Special coverage instructions apply,20030101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2177,Acute bronchitis/bronchiolitis episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to the episode date,,,FALSE,C5439691,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S9001,Home uterine monitor with or without associated nursing services,,,FALSE,C0812836,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9027,"Injection, clofarabine, 1 mg",,,FALSE,C1618377,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20060101,0,O1E=Other drugs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0544,"Post discharge telephonic follow-up contacts performed in conjunction with a discharge from the emergency department for behavioral health or other crisis encounter, 4 calls per calendar month",,,FALSE,C5974177,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9691,Patient had hospice services any time during the measurement period,,,FALSE,C4316235,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1054,Patient had only urgent care visits during the performance period,,,FALSE,C5551265,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1143,"Initiated episode of rehabilitation therapy, medical, or chiropractic care for neck impairment",,,FALSE,C5229191,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0476,"Injection, baclofen, 50 mcg for intrathecal trial",,,FALSE,C0694954,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,D=Special coverage instructions apply,19990101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/T2033,"Residential care, not otherwise specified (nos), waiver; per diem",,,FALSE,C1314633,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6593-A6611,Gradient Compression Bandaging,,,FALSE,C5979691,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0999,"Addition to spinal orthosis, not otherwise specified",,,FALSE,C0520219,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0970-L0999,N=No maintenance for this code,19980101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19980101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9400,"Injection, ziv-aflibercept, 1 mg",,,FALSE,C3534814,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,20140101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/P9025,"Plasma, cryoprecipitate reduced, pathogen reduced, each unit",,,FALSE,C5574628,http://purl.bioontology.org/ontology/STY/T031,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20211001,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,20211001,,,A=Not applicable as HCPCS priced under one methodology,2455B,,,,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T031
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,Wheelchair Accessories,,,FALSE,C0492856,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2506,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",,,FALSE,C5574560,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230401,0,O1E=Other drugs,C=Carrier judgment,20220101,,,A=Not applicable as HCPCS priced under one methodology,,20220101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9752,Emergency surgery,,,FALSE,C4264510,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J9376,"Injection, pozelimab-bbfg, 1 mg",,,FALSE,C5974295,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,20240401,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0326,"Urinal; female, jug-type, any material",,,FALSE,C0498437,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0918,Satisfaction with care not achieved within 90 days following cataract surgery,,,FALSE,C3248433,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0913-G0918,N=No maintenance for this code,20120101,0,M5D=Specialist - other,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/GN,Services delivered under an outpatient speech language pathology plan of care,,,FALSE,C0694911,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,C=Carrier judgment,19990101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G5,Most recent urr reading of 75 or greater,,,FALSE,C0520015,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19980101,,,C=Carrier judgment,19970101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/GS,Dosage of erythropoietin stimulating agent has been reduced and maintained in response to hematocrit or hemoglobin level,,,FALSE,C1618334,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20130101,,,D=Special coverage instructions apply,20060101,,,,4273.1,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/GJ,"""opt out"" physician or practitioner emergency or urgent service",,,FALSE,C0694910,http://purl.bioontology.org/ontology/STY/T097,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19981001,,,C=Carrier judgment,19981001,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T097
http://purl.bioontology.org/ontology/HCPCS/G4,Most recent urr reading of 70 to 74.9,,,FALSE,C0520014,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19970101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/GW,Service not related to the hospice patient's terminal condition,,,FALSE,C0993658,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020101,,,D=Special coverage instructions apply,20020101,,,,4175-5,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G3,Most recent urr reading of 65 to 69.9,,,FALSE,C0520013,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19980101,,,C=Carrier judgment,19970101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/GL,"Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn)",,,FALSE,C0993654,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20080101,,,C=Carrier judgment,20020101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/GX,"Notice of liability issued, voluntary under payer policy",,,FALSE,C2959341,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20100401,,,C=Carrier judgment,20100401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/GY,"Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit",,,FALSE,C0993659,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20070701,,,S=Non-covered by Medicare statute,20020101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/GC,This service has been performed in part by a resident under the direction of a teaching physician,,,FALSE,C0497624,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20010101,,,D=Special coverage instructions apply,19970101,,,,4116|3350.5,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/GP,Services delivered under an outpatient physical therapy plan of care,,,FALSE,C0694913,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,C=Carrier judgment,19990101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/GZ,Item or service expected to be denied as not reasonable and necessary,,,FALSE,C0993660,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020101,,,M=Non-covered by Medicare,20020101,,,,2000,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/GT,Via interactive audio and video telecommunication systems,,,FALSE,C0694914,http://purl.bioontology.org/ontology/STY/T080,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990101,,,D=Special coverage instructions apply,19990101,,,,,,,,,"0073=SEE SECTION 4206(a)(b) OF THE BALANCED BUDGET ACT (BBA) OF 1997. PROGRAM MEMORANDOM B-99-2, JANUARY 1999.",,,,,,http://purl.bioontology.org/ontology/STY/T080
http://purl.bioontology.org/ontology/HCPCS/G1,Most recent urr reading of less than 60,,,FALSE,C0520011,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19980101,,,C=Carrier judgment,19970101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G6,Esrd patient for whom less than six dialysis sessions have been provided in a month,,,FALSE,C0694908,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19980501,,,C=Carrier judgment,19980501,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8,"Monitored anesthesia care (mac) for deep complex, complicated, or markedly invasive surgical procedure",,,FALSE,C0812595,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990701,,,C=Carrier judgment,19990701,,,,,,,,,"0083=MODIFIER G8 FOR USE WITH THE FOLLOWING SIX ANESTHESIA CODES; 00100, 00300, 00400, 00160, 00532 AND 00920.",,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2,Most recent urr reading of 60 to 64.9,,,FALSE,C0520012,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19980101,,,C=Carrier judgment,19970101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/GG,"Performance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day",,,FALSE,C0993652,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020101,,,C=Carrier judgment,20020101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/GU,"Waiver of liability statement issued as required by payer policy, routine notice",,,FALSE,C2959340,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20110101,,,C=Carrier judgment,20110101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/GQ,Via asynchronous telecommunications system,,,FALSE,C0993656,http://purl.bioontology.org/ontology/STY/T080,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20011001,,,C=Carrier judgment,20011001,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T080
http://purl.bioontology.org/ontology/HCPCS/GO,Services delivered under an outpatient occupational therapy plan of care,,,FALSE,C0694912,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,C=Carrier judgment,19990101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G7,Pregnancy resulted from rape or incest or pregnancy certified by physician as life threatening,,,FALSE,C0812594,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990701,,,D=Special coverage instructions apply,19990701,35-99,,,2005.1,,,,,"0084=MODIFIER G7 FOR USE WITH CPT CODES FOR MEDICAL ABORTIONS: 59840, 59841, 59850, 59851, 59852, 59855, 59856, 59857 AND 59866.",,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0,"Telehealth services for diagnosis, evaluation, or treatment, of symptoms of an acute stroke",,,FALSE,C4746271,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20190101,,,C=Carrier judgment,20190101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/GB,Claim being re-submitted for payment because it is no longer covered under a global payment demonstration,,,FALSE,C0993651,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020101,,,C=Carrier judgment,20020101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/GH,Diagnostic mammogram converted from screening mammogram on same day,,,FALSE,C0694909,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19981001,,,C=Carrier judgment,19981001,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/GA,"Waiver of liability statement issued as required by payer policy, individual case",,,FALSE,C2959339,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20110101,,,C=Carrier judgment,19950101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/GM,Multiple patients on one ambulance trip,,,FALSE,C0993655,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020101,,,C=Carrier judgment,20020101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/GK,Reasonable and necessary item/service associated with a ga or gz modifier,,,FALSE,C0993653,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20080101,,,C=Carrier judgment,20020101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9,Monitored anesthesia care for patient who has history of severe cardio-pulmonary condition,,,FALSE,C0812596,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19990701,,,C=Carrier judgment,19990701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/GR,"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",,,FALSE,C1618848,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20060101,,,C=Carrier judgment,20060101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/GE,This service has been performed by a resident without the presence of a teaching physician under the primary care exception,,,FALSE,C0497625,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,D=Special coverage instructions apply,19970101,,,,4116,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/GF,"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",,,FALSE,C1314200,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030401,,,C=Carrier judgment,20030401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/GV,Attending physician not employed or paid under arrangement by the patient's hospice provider,,,FALSE,C0993657,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020101,,,D=Special coverage instructions apply,20020101,,,,4175-5,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1188,Patients with a diagnosis of chronic kidney disease (ckd) stage 5,,,FALSE,C5771694,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L6110,"Below elbow, molded socket, (muenster or northwestern suspension types)",,,FALSE,C0499997,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6100-L6130,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T1502,"Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit",,,FALSE,C1145375,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7402,"Mometasone furoate sinus implant, (sinuva), 10 micrograms",,,FALSE,C5574564,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7330-J7402,N=No maintenance for this code,20210401,0,O1E=Other drugs,C=Carrier judgment,20210401,,,A=Not applicable as HCPCS priced under one methodology,,20210401,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8844,"Apnea hypopnea index (ahi), respiratory disturbance index (rdi), or respiratory event index (rei) not documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea, reason not given",,,FALSE,C5974199,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20250101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4195,"Puraply, per square centimeter",,,FALSE,C4746491,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9902,Patient screened for tobacco use and identified as a tobacco user,,,FALSE,C4542736,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9762,Patient had at least two hpv vaccines (with at least 146 days between the two) or three hpv vaccines on or between the patient's 9th and 13th birthdays,,,FALSE,C4542720,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S1030,"Continuous noninvasive glucose monitoring device, purchase (for physician interpretation of data, use cpt code)",,,FALSE,C0994101,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8300-L8330,Prosthetic Procedures - Trusses,,,FALSE,C3871228,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L7700-L8499,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A0888,"Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility)",,,FALSE,C0497768,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,19950101,0,O1A=Ambulance,M=Non-covered by Medicare,19950101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2125,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/G0268,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing,,,FALSE,C1145143,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20030101,0,P6C=Minor procedures - other (Medicare fee schedule),C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/H2038,"Skills training and development, per diem",,,FALSE,C5771598,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20220401,0,Z2=Undefined codes,I=Not payable by Medicare,20220401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A6591,"External urinary catheter; non-disposable, for use with suction pump, per month",,,FALSE,C5883932,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6590-A6591,N=No maintenance for this code,20230401,0,D1E=Other DME,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1233,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system",,,FALSE,C1145113,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1229-E1239,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,D=Special coverage instructions apply,20030101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0580,Polycarbonate lens (list this code in addition to the basic code for the lens),,,FALSE,C0994093,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0500-S0596,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L4045,"Replace non-molded thigh lacer, for custom fabricated orthosis only",,,FALSE,C0499803,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4000-L4210,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C9796,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [sis])",,,FALSE,C5974113,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20240101,0,P6C=Minor procedures - other (Medicare fee schedule),D=Special coverage instructions apply,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4188,"Amnioarmor, per square centimeter",,,FALSE,C4746484,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E0113,"Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip",,,FALSE,C0498354,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0110-E0118,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8096-S8210,Assistive Breathing Supplies,,,FALSE,C4542660,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20S0000-S9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0570,"Nebulizer, with compressor",,,FALSE,C0498465,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0550-E0585,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,4107.9,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0643-L0651,Lumbar-Sacral Orthotics,,,FALSE,C4542623,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L0100-L4999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T2023,Targeted case management; per month,,,FALSE,C1314623,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L0466,"Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710477,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A7525,"Tracheostomy mask, each",,,FALSE,C0181759,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7501-A7527,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9780,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance",,,FALSE,C5574455,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20240101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20211001,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2524,"Contact lens, hydrophilic, spherical, photochromic additive, per lens",,,FALSE,C5439810,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2500-V2599,N=No maintenance for this code,20221001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20201001,80.4,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/H0024,Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude),,,FALSE,C0919060,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A9530,"Iodine i-131 sodium iodide solution, therapeutic, per millicurie",,,FALSE,C1314272,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,57=Other carrier priced,,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/Q4108,"Integra matrix, per square centimeter",,,FALSE,C2959310,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,Home Care Services,,,FALSE,C0019855,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20S0000-S9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5676,"Additions to lower extremity, below knee, knee joints, single axis, pair",,,FALSE,C0499916,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C2699,"Brachytherapy source, non-stranded, not otherwise specified, per source",,,FALSE,C1971555,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2634-C2699,N=No maintenance for this code,20070701,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20070701,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/L2190,"Addition to lower extremity fracture orthosis, waist belt",,,FALSE,C0499566,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2180-L2192,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4234,"Xcellerate, per square centimeter",,,FALSE,C5439778,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L2387,"Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint",,,FALSE,C1618893,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1847,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710509,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19990101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9807,"Nerve stimulator, percutaneous, peripheral (e.g., sprint peripheral nerve stimulation system), including electrode and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)",,,FALSE,C5974117,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20250101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,53=Statute,,1833(t),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9361,"Injection, efbemalenograstim alfa-vuxw, 0.5 mg",,,FALSE,C5974294,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S4991,"Nicotine patches, non-legend",,,FALSE,C0994149,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4990-S5014,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T1014,"Telehealth transmission, per minute, professional services bill separately",,,FALSE,C0994288,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0655,"Non-segmental pneumatic appliance for use with pneumatic compressor, half arm",,,FALSE,C0498486,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0650-E0677,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-16,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0562,"Humidifier, heated, used with positive airway pressure device",,,FALSE,C0812755,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0550-E0585,N=No maintenance for this code,20040101,0,D1E=Other DME,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0329,"Hospital bed, pediatric, electric or semi-electric, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress",,,FALSE,C1971592,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,20080101,0,D1B=Hospital beds,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1120,"Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)",,,FALSE,C5203735,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q9957,"Injection, perflutren lipid microspheres, per ml",,,FALSE,C1616856,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9950-Q9969,N=No maintenance for this code,20050401,0,I1F=Standard imaging - other,C=Carrier judgment,20050401,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/Q5149,"Injection, aflibercept-abzv (enzeevu), biosimilar, 1 mg",,,FALSE,C5979773,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1743,"Injection, idursulfase, 1 mg",,,FALSE,C1736663,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20080101,0,O1E=Other drugs,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6010,"Partial hand, little and/or ring finger remaining",,,FALSE,C0499992,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6000-L6037,N=No maintenance for this code,20120101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L8435,"Prosthetic sock, multiple ply, upper limb, each",,,FALSE,C0500175,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8400-L8485,N=No maintenance for this code,20000101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19880101,,,A=Not applicable as HCPCS priced under one methodology,2133,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2329,"Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array, and fixed mounting hardware",,,FALSE,C1314350,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0275,"Bed pan, standard, metal or plastic",,,FALSE,C0498423,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J3396,"Injection, verteporfin, 0.1 mg",,,FALSE,C1509017,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20050101,0,O1E=Other drugs,D=Special coverage instructions apply,20050101,,,A=Not applicable as HCPCS priced under one methodology,35-100|45-30,20080101,,YY,51=Drugs,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0302,Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service),,,FALSE,C0994077,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L8608,"Miscellaneous external component, supply or accessory for use with the argus ii retinal prosthesis system",,,FALSE,C4746425,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8608-L8629,N=No maintenance for this code,20190101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2025,Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only,,,FALSE,C5439682,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200127,0,M6=Consultations,C=Carrier judgment,20200127,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K0052,"Swingaway, detachable footrests, replacement only, each",,,FALSE,C0499211,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/T2038,"Community transition, waiver; per service",,,FALSE,C1314638,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C1887,"Catheter, guiding (may include infusion/perfusion capability)",,,FALSE,C0993789,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1056,"Prescribed anticoagulant medication during the performance period, history of gi bleeding, history of intracranial bleeding, bleeding disorder and specific provider documented reasons: allergy to aspirin or anti-platelets, use of non-steroidal anti-inflammatory agents, drug-drug interaction, uncontrolled hypertension > 180/110 mmhg or gastroesophageal reflux disease",,,FALSE,C4746465,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J7175,"Injection, factor x, (human), 1 i.u.",,,FALSE,C4316100,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,20170101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C8913,"Magnetic resonance angiography without contrast, lower extremity",,,FALSE,C0993832,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8900-C8920,N=No maintenance for this code,20011001,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20011001,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S8085,Fluorine-18 fluorodeoxyglucose (f-18 fdg) imaging using dual-head coincidence detection system (non-dedicated pet scan),,,FALSE,C0919208,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8030-S8092,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L7181,"Electronic elbow, microprocessor simultaneous control of elbow and terminal device",,,FALSE,C1509067,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7170-L7191,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S0281,"Medical home program, comprehensive care coordination and planning, maintenance of plan",,,FALSE,C2729376,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20100101,0,Z2=Undefined codes,I=Not payable by Medicare,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2001,"Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system",,,FALSE,C5974146,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1902-E2120,N=No maintenance for this code,20240401,0,D1E=Other DME,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7100,"Infusion, dextran 40, 500 ml",,,FALSE,C0499054,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",,,FALSE,C0497833,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S5125,Attendant care services; per 15 minutes,,,FALSE,C1314562,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S0601,Screening proctoscopy,,,FALSE,C0812798,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0601-S0622,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9206,"Injection, irinotecan, 20 mg",,,FALSE,C0520158,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19980101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1295,"Heavy duty wheelchair, fixed full length arms, elevating legrest",,,FALSE,C0498622,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1280-E1298,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8512,"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10",,,FALSE,C1314473,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8500-L8515,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0515-Q0515,Sermorelin Acetate,,,FALSE,C0162725,http://purl.bioontology.org/ontology/STY/T116|http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T116|http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/G0412,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixation, when performed",,,FALSE,C2368412,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0412-G0415,N=No maintenance for this code,20090101,0,P3D=Major procedure - orthopedic - other,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)","0155=MEDICARE DOES NOT RECOGNIZE CODES 27215, 27216, 27217 AND 27218 FOR 2009.",,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6500,"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping",,,FALSE,C0500016,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6400-L6570,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4106,"Dermagraft, per square centimeter",,,FALSE,C2959308,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/T1006,"Alcohol and/or substance abuse services, family/couple counseling",,,FALSE,C0994280,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J2777,"Injection, faricimab-svoa, 0.1 mg",,,FALSE,C5771630,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20221001,0,O1E=Other drugs,C=Carrier judgment,20221001,,,A=Not applicable as HCPCS priced under one methodology,,20221001,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9414,"Patient had one dose of meningococcal vaccine (serogroups a, c, w, y) on or between the patient's 11th and 13th birthdays",,,FALSE,C3871320,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A7015,"Aerosol mask, used with dme nebulizer",,,FALSE,C0499311,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20000101,0,D1E=Other DME,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9217,"Leuprolide acetate (for depot suspension), 7.5 mg",,,FALSE,C0499140,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,19970101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19910101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3040,"Foot, arch support, removable, premolded, longitudinal, each",,,FALSE,C0499644,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3040-L3060,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9696,"Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., patient intolerance or history of side effects)",,,FALSE,C4316233,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1354,"Patients who did not have a suicide safety plan initiated, reviewed, or updated or reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 hours of clinical encounter and within 120 days after initiation",,,FALSE,C5884217,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J9312,"Injection, rituximab, 10 mg",,,FALSE,C4746423,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20190101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20190101,,,A=Not applicable as HCPCS priced under one methodology,2049,20190101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K1037,Docking station for use with oral device/appliance used to reduce upper airway collapsibility,,,FALSE,C5974296,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K1030-K1037,N=No maintenance for this code,20240401,0,Z2=Undefined codes,C=Carrier judgment,20240401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,99=Value not established,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0208,"Paramedic intercept, hospital-based als service (non-voluntary), non-transport",,,FALSE,C0994071,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L2760,"Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth)",,,FALSE,C0499625,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2750-L2999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0698,"Injection, cefotaxime sodium, per gm",,,FALSE,C0498797,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19910101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/P9016,"Red blood cells, leukocytes reduced, each unit",,,FALSE,C0500244,http://purl.bioontology.org/ontology/STY/T031,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20010101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,19870101,,,A=Not applicable as HCPCS priced under one methodology,2455 B,,,,52=Reasonable charge,,,"0=Whole blood only eff 01/96, whole blood or packed red cells before 01/96",,,,http://purl.bioontology.org/ontology/STY/T031
http://purl.bioontology.org/ontology/HCPCS/M1256,Prior history of known cvd,,,FALSE,C5884161,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S0209,"Wheelchair van, mileage, per mile",,,FALSE,C0994072,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/G9066,"Oncology; disease status; limited to non-small cell lung cancer; stage iii b- iv at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)",,,FALSE,C1620998,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5070-V5110,Hearing Services - Miscellaneous Services and Supplies,,,FALSE,C4542667,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20V5000-V5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C1062,"Intravertebral body fracture augmentation with implant (e.g., metal, polymer)",,,FALSE,C5439628,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1052-C1715,N=No maintenance for this code,20240101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20210101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1425,Surgical care mips value pathway,,,FALSE,C5974372,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0415,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum)",,,FALSE,C2368415,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0412-G0415,N=No maintenance for this code,20090101,0,P3D=Major procedure - orthopedic - other,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)","0155=MEDICARE DOES NOT RECOGNIZE CODES 27215, 27216, 27217 AND 27218 FOR 2009.",,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4247,"Amniotext patch, per square centimeter",,,FALSE,C5439790,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G0343,"Laparotomy for islet cell transplant, includes portal vein catheterization and infusion",,,FALSE,C1508978,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20041001,0,P1G=Major procedure - other,D=Special coverage instructions apply,20041001,35-82,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5656,"Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal)",,,FALSE,C0499900,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2037,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated",,,FALSE,C0499538,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2000-L2038,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4255,"Reguard, for topical use only, per square centimeter",,,FALSE,C5439795,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20201001,0,O1E=Other drugs,C=Carrier judgment,20201001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Q4350,"Palisade dm matrix, per square centimeter",,,FALSE,C5974427,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7310-J7310,Ganciclovir,,,FALSE,C0017066,http://purl.bioontology.org/ontology/STY/T114|http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J0100-J8999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T114|http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/J1551,"Injection, immune globulin (cutaquig), 100 mg",,,FALSE,C5771616,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20220701,0,O1E=Other drugs,C=Carrier judgment,20220701,,,A=Not applicable as HCPCS priced under one methodology,,20220701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1764,"Event recorder, cardiac (implantable)",,,FALSE,C0993755,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G4004,Endocrinology mips specialty set,,,FALSE,C5574507,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J9171,"Injection, docetaxel, 1 mg",,,FALSE,C2729286,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240101,0,O1E=Other drugs,D=Special coverage instructions apply,20100101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E2100,Blood glucose monitor with integrated voice synthesizer,,,FALSE,C0993879,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1902-E2120,N=No maintenance for this code,20020101,0,D1E=Other DME,D=Special coverage instructions apply,20020101,60-11,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0746,"Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 square inches",,,FALSE,C3248661,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0669-K0746,N=No maintenance for this code,20110701,0,D1E=Other DME,C=Carrier judgment,20110701,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6610,"Gradient compression stocking, below knee, 18-30 mmhg, custom, each",,,FALSE,C5883950,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6593-A6611,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H0006,Alcohol and/or drug services; case management,,,FALSE,C0919042,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/K0877,"Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds",,,FALSE,C1737761,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5102-A5200,Additional Incontinence and Ostomy supplies,,,FALSE,C4316315,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9724,Patients who had documentation of use of anticoagulant medications overlapping the measurement year,,,FALSE,C4316213,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/G9727,"Patient unable to complete the lepf prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available",,,FALSE,C4746374,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A7503,"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each",,,FALSE,C0918328,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7501-A7527,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2780,"Addition to lower extremity orthosis, non-corrosive finish, per bar",,,FALSE,C0499627,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2750-L2999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C9359,"Porous purified collagen matrix bone void filler (integra mozaik osteoconductive scaffold putty, integra os osteoconductive scaffold putty), per 0.5 cc",,,FALSE,C2368665,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20081001,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20081001,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6593,"Accessory for gradient compression garment or wrap with adjustable straps, not-otherwise specified",,,FALSE,C5883933,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6593-A6611,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9203,"Injection, gemtuzumab ozogamicin, 0.1 mg",,,FALSE,C4542795,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20180101,0,O1D=Chemotherapy,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,20180101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5090,"Dispensing fee, unspecified hearing aid",,,FALSE,C0500436,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5070-V5110,N=No maintenance for this code,19950101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A9506,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible",,,FALSE,C5974089,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20240701,0,Z2=Undefined codes,C=Carrier judgment,20240701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,20240701,,YY,99=Value not established,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A5057,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each",,,FALSE,C3248706,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5051-A5093,N=No maintenance for this code,20120101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20120101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7544,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)",,,FALSE,C5771557,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20240101,0,P8B=Endoscopy - upper gastrointestinal,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5824,"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control",,,FALSE,C0499960,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S0126,"Injection, follitropin alfa, 75 iu",,,FALSE,C1145308,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L8470,"Prosthetic sock, single ply, fitting, below knee, each",,,FALSE,C0500179,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8400-L8485,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2133,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S2140,"Cord blood harvesting for transplantation, allogeneic",,,FALSE,C0919176,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,Prosthetic Procedures - Lower Limb - Additions to Ankle and/or Foot,,,FALSE,C4542634,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C2617,"Stent, non-coronary, temporary, without delivery system",,,FALSE,C0993806,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2617-C2631,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8907,Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility,,,FALSE,C3534794,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120401,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J7999,"Compounded drug, not otherwise classified",,,FALSE,C4067616,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7699-J8499,N=No maintenance for this code,20160101,0,O1E=Other drugs,D=Special coverage instructions apply,20160101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0205=PUB 100-4, CH 17, SEC 20.1.2.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C2642,"Brachytherapy source, stranded, cesium-131, per source",,,FALSE,C1971552,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2634-C2699,N=No maintenance for this code,20070701,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20070701,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/E8000,"Gait trainer, pediatric size, posterior support, includes all accessories and components",,,FALSE,C1508946,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E8000-E8002,N=No maintenance for this code,20050101,0,Z2=Undefined codes,I=Not payable by Medicare,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7637,"Dexamethasone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram",,,FALSE,C0520201,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L1848,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf",,,FALSE,C3710510,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J3285,"Injection, treprostinil, 1 mg",,,FALSE,C1314494,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20060101,0,O1E=Other drugs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4333,"Ardeograft, per square centimeter",,,FALSE,C5974410,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/C1749,"Endoscope, retrograde imaging/illumination colonoscope device (implantable)",,,FALSE,C2959350,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20101001,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20101001,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1360,Suicidal ideation and/or behavior symptoms based on the c-ssrs,,,FALSE,C5884221,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,Respiratory Supplies,,,FALSE,C4542549,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0605,"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each",,,FALSE,C1314438,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0455-K0605,N=No maintenance for this code,20030401,0,D1E=Other DME,C=Carrier judgment,20030401,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0648,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf",,,FALSE,C3710492,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0643-L0651,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1238,"Documentation that administration of second recombinant zoster vaccine could not occur during the performance period due to the recommended 2-6 month interval between doses (i.e, first dose received after october 31)",,,FALSE,C5884143,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q5124,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg",,,FALSE,C5771733,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20230101,0,O1E=Other drugs,C=Carrier judgment,20220401,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1008,<50% of total number of a patient's outpatient ra encounters assessed,,,FALSE,C4746436,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1193,"Surgical pathology reports that contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both",,,FALSE,C5771698,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J0364,"Injection, apomorphine hydrochloride, 1 mg",,,FALSE,C1616858,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20070101,0,O1E=Other drugs,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3720,"Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated",,,FALSE,C0499733,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3702-L3766,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19840101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1203,"Ace inhibitor or arb therapy not prescribed during the measurement period, reason not given",,,FALSE,C5771705,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/T1009,Child sitting services for children of the individual receiving alcohol and/or substance abuse services,,,FALSE,C0994283,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0398,"Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation",,,FALSE,C2368403,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0398-G0400,N=No maintenance for this code,20080313,0,T2D=Other tests - other,C=Carrier judgment,20080313,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5100-L5105,Prosthetic Procedures - Below Knee,,,FALSE,C0813064,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3380,Clubfoot wedge,,,FALSE,C0499697,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3340-L3420,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4641,"Radiopharmaceutical, diagnostic, not otherwise classified",,,FALSE,C0497893,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4641-A4642,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/E0247,Transfer bench for tub or toilet with or without commode opening,,,FALSE,C1314294,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0240-E0248,N=No maintenance for this code,20040101,0,D1E=Other DME,D=Special coverage instructions apply,20040101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1125,"Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)",,,FALSE,C5203738,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J1786,"Injection, imiglucerase, 10 units",,,FALSE,C2959252,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20110101,0,O1E=Other drugs,D=Special coverage instructions apply,20110101,,,A=Not applicable as HCPCS priced under one methodology,2049,20110101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0271,"Physician management of patient home care, hospice monthly case rate (per 30 days)",,,FALSE,C1971374,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20070401,0,Z2=Undefined codes,I=Not payable by Medicare,20070401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L0634,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, custom fabricated",,,FALSE,C1617863,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0628-L0640,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q5006,Hospice care provided in inpatient hospice facility,,,FALSE,C1738034,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5001-Q5010,N=No maintenance for this code,20070101,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0133=SEE ONLINE MANUAL 100-02.9.,,1=Medical care|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1111,The start of an episode of care documented in the medical record,,,FALSE,C5203707,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J3370,"Injection, vancomycin hcl, 500 mg",,,FALSE,C0499025,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20000101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,60-14,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9923,Safety concerns screen provided and negative,,,FALSE,C4542753,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/T2016,"Habilitation, residential, waiver; per diem",,,FALSE,C1314616,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1278,"Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented",,,FALSE,C5876957,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L7186,"Electronic elbow, child, variety village or equal, switch controlled",,,FALSE,C2092598,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7170-L7191,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H1000,"Prenatal care, at-risk assessment",,,FALSE,C0993930,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0776,Iv pole,,,FALSE,C0181398,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0776-E0791,N=No maintenance for this code,19960101,0,D1E=Other DME,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|E=Enteral/parenteral nutrients/supplies (eff 04/95)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9601,"Flortaucipir f 18 injection, diagnostic, 1 millicurie",,,FALSE,C5771508,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20220701,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20220701,,,A=Not applicable as HCPCS priced under one methodology,,20220701,,YY,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/J2185,"Injection, meropenem, 100 mg",,,FALSE,C1314417,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20040101,0,O1E=Other drugs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S5135,"Companion care, adult (e.g., iadl/adl); per 15 minutes",,,FALSE,C1314566,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1296,Bmi is documented within normal parameters and no follow-up plan is required,,,FALSE,C5849227,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0416-G0416,Surgical Pathology: Prostate Biopsy,,,FALSE,C4542585,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/L3978,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment",,,FALSE,C1619401,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3975-L3978,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5673,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism",,,FALSE,C1314468,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1131,"Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care",,,FALSE,C5203745,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J2003,"Injection, lidocaine hydrochloride, 1 mg",,,FALSE,C5974250,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20241001,0,O1E=Other drugs,D=Special coverage instructions apply,20241001,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7318,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg",,,FALSE,C4746418,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7318-J7329,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0231,"Non-contact wound warming device (temperature control unit, ac adapter and power cord) for use with warming card and wound cover",,,FALSE,C0993854,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0200-E0239,N=No maintenance for this code,20020701,0,D1E=Other DME,M=Non-covered by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2303,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4208,"Syringe with needle, sterile 3 cc, each",,,FALSE,C0497779,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,20070101,0,D1A=Medical/surgical supplies,C=Carrier judgment,19850101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S4993,Contraceptive pills for birth control,,,FALSE,C0009905,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4990-S5014,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/A7527,"Tracheostomy/laryngectomy tube plug/stop, each",,,FALSE,C1508836,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7501-A7527,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1731,"Catheter, electrophysiology, diagnostic, other than 3d mapping (20 or more electrodes)",,,FALSE,C0993741,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0288,"Injection, amphotericin b cholesteryl sulfate complex, 10 mg",,,FALSE,C1145187,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20140101,0,O1E=Other drugs,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6935,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device",,,FALSE,C0500111,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6920-L6975,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7183,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco",,,FALSE,C3248651,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20120101,0,O1E=Other drugs,D=Special coverage instructions apply,20120101,,,A=Not applicable as HCPCS priced under one methodology,2049,20120101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L1210,"Addition to tlso, (low profile), lateral thoracic extension",,,FALSE,C0499470,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1200-L1290,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6235,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",,,FALSE,C0520044,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8911,Patient documented not to have experienced a fall within ambulatory surgical center,,,FALSE,C3534790,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120401,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J0456,"Injection, azithromycin, 500 mg",,,FALSE,C0812732,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20000101,0,O1E=Other drugs,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9725,Placement of endorectal intracavitary applicator for high intensity brachytherapy,,,FALSE,C1616808,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20051001,0,P7A=Oncology - radiation therapy,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(T),6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6570,"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping",,,FALSE,C0500018,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6400-L6570,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19840101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2799,"Injection, risperidone (uzedy), 1 mg",,,FALSE,C5884078,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L1090,"Addition to ctlso or scoliosis orthosis, lumbar sling",,,FALSE,C0499465,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1000-L1120,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1330,"Injection, ergonovine maleate, up to 0.2 mg",,,FALSE,C0498852,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3962,"Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment",,,FALSE,C0499782,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3960-L3973,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2800,"Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only",,,FALSE,C0499630,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2750-L2999,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20S0000-S9999,Temporary National Codes Established by Private Payers,,,FALSE,C2729418,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/MTHU000323,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",,,FALSE,C1314220,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1080,"Addition to ctlso or scoliosis orthosis, outrigger",,,FALSE,C0499463,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1000-L1120,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C8906,"Magnetic resonance imaging with contrast, breast; bilateral",,,FALSE,C0993825,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8900-C8920,N=No maintenance for this code,20011001,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20011001,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/J9281,"Mitomycin pyelocalyceal instillation, 1 mg",,,FALSE,C5439637,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20210101,0,O1D=Chemotherapy,C=Carrier judgment,20210101,,,A=Not applicable as HCPCS priced under one methodology,,20210101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0510-Q0514,Pharmacy: Supply and Dispensing Fee (CMS Temporary Codes),,,FALSE,C5574416,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",,,FALSE,C2729288,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0669-K0746,N=No maintenance for this code,20090401,0,D1E=Other DME,C=Carrier judgment,20090401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1716,"Brachytherapy source, non-stranded, gold-198, per source",,,FALSE,C0993727,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1716-C1719,N=No maintenance for this code,20010401,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(T),6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0256,"Hospital bed, variable height, hi-lo, with any type side rails, without mattress",,,FALSE,C0498415,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19910101,0,D1B=Hospital beds,D=Special coverage instructions apply,19910101,60-18,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0713,"Injection, ceftazidime, per 500 mg",,,FALSE,C0498802,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19960101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0561,"Injection, penicillin g benzathine, 100,000 units",,,FALSE,C2959230,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,D=Special coverage instructions apply,20110101,,,A=Not applicable as HCPCS priced under one methodology,2049,20160101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/H0053,Historical trauma (ht) mental health and clinical care for indigenous persons,,,FALSE,C5974211,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20250101,0,Z2=Undefined codes,I=Not payable by Medicare,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G8647,Residual score for the knee impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0),,,FALSE,C4746322,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4265,"Paraffin, per pound",,,FALSE,C0497805,http://purl.bioontology.org/ontology/STY/T109,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20020101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T109
http://purl.bioontology.org/ontology/HCPCS/L3930,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf",,,FALSE,C3710537,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1007,>=50% of total number of a patient's outpatient ra encounters assessed,,,FALSE,C4746435,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L8515,"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each",,,FALSE,C1509068,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8500-L8515,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0365,"Injection, aprotonin, 10,000 kiu",,,FALSE,C1618373,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,0095=AS REQUIRED BY BBRA SECTION 201.,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0897,"Injection, denosumab, 1 mg",,,FALSE,C2958908,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20120101,0,O1E=Other drugs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,20120101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2356,"Injection, tezepelumab-ekko, 1 mg",,,FALSE,C5771628,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20220701,0,O1E=Other drugs,C=Carrier judgment,20220701,,,A=Not applicable as HCPCS priced under one methodology,,20220701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0141,"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician",,,FALSE,C0694942,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,19990101,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,19990101,,630=Cytology,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,"0045=SEE INTERMEDIARY MANUAL 3628.1A FOR PAYMENT INSTRUCTIONS. (P3000,P3001 G0123, G0124, G0141, G0143, G0144, G0145, G0147, G0148). PROGRAM MEMORANDUM AB-98-71.60.",,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/L0637,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710488,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0628-L0640,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9214,"Home management of gestational diabetes, includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately); per diem (do not use this code with any home infusion per diem code)",,,FALSE,C0994206,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9208-S9214,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2000,"Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated",,,FALSE,C0499533,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2000-L2038,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",,,FALSE,C0520088,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4100-B4162,N=No maintenance for this code,20050101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19840101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/G9930,Patients who are receiving comfort care only,,,FALSE,C4542760,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0540,"Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes",,,FALSE,C5974173,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4334,"Amnioplast 1, per square centimeter",,,FALSE,C5974411,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20241001,0,O1E=Other drugs,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q3014-Q3014,Telehealth (CMS Temporary Codes),,,FALSE,C2729409,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1391,"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each",,,FALSE,C1314330,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1352-E1406,N=No maintenance for this code,20040101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,20040101,60-4,,A=Not applicable as HCPCS priced under one methodology,,,,,33=Oxygen and oxygen equipment (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2630,Anterior chamber intraocular lens,,,FALSE,C2366841,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2630-V2632,N=No maintenance for this code,20141001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,56=IOL's inserted in a physician's office (eff 10/1/2014),,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G2116,Patients 66 - 80 years of age with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period,,,FALSE,C5203720,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0537,"Administration of a standardized, evidence-based atherosclerotic cardiovascular disease (ascvd) risk assessment, 5-15 minutes, not more often than every 12 months",,,FALSE,C5974170,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",,,FALSE,C1617371,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4233-A4236,N=No maintenance for this code,20160101,0,D1E=Other DME,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q2038,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)",,,FALSE,C2959301,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,N=No maintenance for this code,20140101,0,O1G=Immunizations/Vaccinations,D=Special coverage instructions apply,20110101,,,A=Not applicable as HCPCS priced under one methodology,2049.4,,,,54=Vaccinations,,,"V=Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95",,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/J2410,"Injection, oxymorphone hcl, up to 1 mg",,,FALSE,C0498948,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7294-J7307,Contraceptives,,,FALSE,C0009871,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J0100-J8999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/STY/T030,Body Space or Junction,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T082,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T031,Body Substance,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T167,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T039,Physiologic Function,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T038,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T033,Finding,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T077,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T034,Laboratory or Test Result,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T033,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T038,Biologic Function,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T070,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T032,Organism Attribute,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T077,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T037,Injury or Poisoning,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T067,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/HCPCS/L3224,"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis)",,,FALSE,C0499675,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19950101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2323D,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J8499,"Prescription drug, oral, non chemotherapeutic, nos",,,FALSE,C0499098,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7699-J8499,N=No maintenance for this code,19970101,0,O1E=Other drugs,M=Non-covered by Medicare,19950101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2049,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/E1228,Special back height for wheelchair,,,FALSE,C0498613,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1220-E1228,N=No maintenance for this code,19900101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-6,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5221,"Hearing aid, contralateral routing system, binaural, bte/bte",,,FALSE,C4746520,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20190101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A2009,"Symphony, per square centimeter",,,FALSE,C5574428,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20220101,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20220101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9308,"Unplanned return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure",,,FALSE,C3710409,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J2290,"Injection, nafcillin sodium, 20 mg",,,FALSE,C5974258,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,D=Special coverage instructions apply,20250101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L8415,"Prosthetic sheath, upper limb, each",,,FALSE,C0500171,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8400-L8485,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19880101,,,A=Not applicable as HCPCS priced under one methodology,2133,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9711,Patients with a diagnosis or past history of total colectomy or colorectal cancer,,,FALSE,C4316221,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/L6692,"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each",,,FALSE,C0500060,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,C=Change in long description of procedure or modifier code,20250401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9722,"Documented history of renal failure or baseline serum creatinine >= 4.0 mg/dl; renal transplant recipients are not considered to have preoperative renal failure, unless, since transplantation the cr has been or is 4.0 or higher",,,FALSE,C4316215,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V2215,"Lenticular (myodisc), per lens, bifocal",,,FALSE,C0500350,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,Artificial Kidney Machines and Accessories,,,FALSE,C0812977,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T4536,"Incontinence product, protective underwear/pull-on, reusable, any size, each",,,FALSE,C1509118,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20050101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2427,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg",,,FALSE,C5884072,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20230701,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0189,"Testosterone pellet, 75 mg",,,FALSE,C0995020,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0013,"Individual counseling for pre-exposure prophylaxis (prep) by clinical staff to prevent human immunodeficiency virus (hiv), includes: hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence",,,FALSE,C5883998,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0008-G0013,N=No maintenance for this code,20240102,0,P5E=Ambulatory procedures - other,C=Carrier judgment,20240102,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1413,Patients who had a positive pd-l1 biomarker expression test result prior to the initiation of first-line immune checkpoint inhibitor therapy,,,FALSE,C5974360,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4560,"Neuromuscular electrical stimulator (nmes), disposable, replacement only",,,FALSE,C5883882,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20230401,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20230401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2391,"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each",,,FALSE,C1738557,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20070101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0936,Continuous passive motion exercise device for use other than knee,,,FALSE,C1738555,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,20070101,0,D1E=Other DME,M=Non-covered by Medicare,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0137=PUBLICATION 100-03, CHAPTER 1, SECTION 280.1 (100.03, 1, 280.1).",,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4284,"Dermabind sl, per square centimeter",,,FALSE,C5884252,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5008-V5020,Hearing Services - Assessments and Evaluations,,,FALSE,C4542540,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20V5000-V5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0350,"Injection, anistreplase, per 30 units",,,FALSE,C0498764,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2139,Back pain measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was greater than 3.0 and back pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated improvement of less than 5.0 points,,,FALSE,C5229101,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A7041,Water seal drainage container and tubing for use with implanted chest tube,,,FALSE,C1508782,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J3262,"Injection, tocilizumab, 1 mg",,,FALSE,C2959259,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20110101,0,O1E=Other drugs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,20110101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1412,"Patients with metastatic nsclc with epidermal growth factor receptor (egfr) mutations, alk genomic tumor aberrations, or other targetable genomic abnormalities with approved first-line targeted therapy, such as nsclc with ros1 rearrangement, braf v600e mutation, ntrk 1/2/3 gene fusion, met ex14 skipping mutation, and ret rearrangement",,,FALSE,C5974359,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/STY/T073,Manufactured Object,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T072,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T075,Research Device,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T073,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T077,Conceptual Entity,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T071,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T071,Entity,,,FALSE,,,,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T079,Temporal Concept,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T078,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T072,Physical Object,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T071,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T070,Natural Phenomenon or Process,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T067,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T074,Medical Device,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T073,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T078,Idea or Concept,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T077,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/HCPCS/G0137,"Intensive outpatient services; weekly bundle, minimum of 9 services over a 7 contiguous day period, which can include individual and group therapy with physicians or psychologists (or other mental health professionals to the extent authorized under state law); occupational therapy requiring the skills of a qualified occupational therapist; services of social workers, trained psychiatric nurses, and other staff trained to work with psychiatric patients; individualized activity therapies that are not primarily recreational or diversionary; family counseling (the primary purpose of which is treatment of the individual's condition); patient training and education (to the extent that training and educational activities are closely and clearly related to individual's care and treatment); diagnostic services; and such other items and services (excluding meals and transportation) that are reasonable and necessary for the diagnosis or active treatment of the individual's condition, reasonably expected to improve or maintain the individual's condition and functional level and to prevent relapse or hospitalization, and furnished pursuant to such guidelines relating to frequency and duration of services in accordance with a physician certification and plan of treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure",,,FALSE,C5884006,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20240101,0,M5D=Specialist - other,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0500-G0500,Moderate Sedation Services,,,FALSE,C3527138,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9269,"Injection, tagraxofusp-erzs, 10 micrograms",,,FALSE,C5229175,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20191001,0,O1D=Chemotherapy,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,20191001,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L2810,"Addition to lower extremity orthosis, knee control, condylar pad",,,FALSE,C0499631,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2750-L2999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1022,"Wheelchair transportation securement system, any type includes all components and accessories",,,FALSE,C5979716,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,A=Add procedure or modifier code,20250401,0,D1D=Wheelchairs,S=Non-covered by Medicare statute,20250401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0679,"Non-pneumatic sequential compression garment, half leg",,,FALSE,C5771655,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0678-E0683,N=No maintenance for this code,20240101,0,D1E=Other DME,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H0009,Alcohol and/or drug services; acute detoxification (hospital inpatient),,,FALSE,C0919045,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0572,"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine",,,FALSE,C4067594,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,D=Special coverage instructions apply,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0127=PUBLICATION 100.2, CHAPTER 15, 50.1.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/B4158,"Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit",,,FALSE,C1508845,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4100-B4162,N=No maintenance for this code,20050101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,20050101,65-10,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/M1005,"Tb screening not performed or results not interpreted, reason not given",,,FALSE,C4746433,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0428,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex)",,,FALSE,C2958947,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0428-G0429,N=No maintenance for this code,20100525,0,P1G=Major procedure - other,M=Non-covered by Medicare,20100525,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0169=SERVICE IS NON-COVERED BY NCD 150.12.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A9501,"Technetium tc-99m teboroxime, diagnostic, per study dose",,,FALSE,C1971400,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20080101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/S4981,Insertion of levonorgestrel-releasing intrauterine system,,,FALSE,C0994146,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0400,"Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels",,,FALSE,C2368405,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0398-G0400,N=No maintenance for this code,20080313,0,T2D=Other tests - other,C=Carrier judgment,20080313,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710542,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4350-L4631,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",,,FALSE,C0812756,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20040101,0,D1E=Other DME,D=Special coverage instructions apply,20040101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2111,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens",,,FALSE,C0500326,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2100-V2199,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1414,"Documentation of medical reason(s) for not performing the pd-l1 biomarker expression test prior to initiation of first-line immune checkpoint inhibitor therapy (e.g., patient is in an urgent or emergent situation where delay of treatment would jeopardize the patient's health status; other medical reasons/contraindication)",,,FALSE,C5974361,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9897,"Patients who were not prescribed/administered androgen deprivation therapy in combination with external beam radiotherapy to the prostate, reason not given",,,FALSE,C4542732,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7007-L7045,Prosthetic Procedures - Upper Limb - Additions to Electronic Hand or Hook,,,FALSE,C5228981,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7636,"Atropine, inhalation solution, compounded product, administered through dme, unit dose form, per milligram",,,FALSE,C0520197,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1594,Cycler dialysis machine for peritoneal dialysis,,,FALSE,C0498660,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J3101,"Injection, tenecteplase, 1 mg",,,FALSE,C2368485,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20090101,0,O1E=Other drugs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,20090101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2628,Fabrication and fitting of ocular conformer,,,FALSE,C0500405,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2623-V2629,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19930101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9331,"Injection, sirolimus protein-bound particles, 1 mg",,,FALSE,C5771643,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20220701,0,O1E=Other drugs,C=Carrier judgment,20220701,,,A=Not applicable as HCPCS priced under one methodology,,20220701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7202,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u.",,,FALSE,C4316098,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20170101,0,O1E=Other drugs,D=Special coverage instructions apply,20170101,,,A=Not applicable as HCPCS priced under one methodology,,20170101,,YY,51=Drugs,"0211=PUB 100-4, CH 17, SEC 80.4.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1284,"Patients age 66 or older in institutional special needs plans (snp) or residing in long term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period",,,FALSE,C5849215,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9732,Patient refused to participate,,,FALSE,C4284598,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4181,"Amnio wound, per square centimeter",,,FALSE,C4542812,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G0259,Injection procedure for sacroiliac joint; arthrography,,,FALSE,C1145134,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20030101,0,O1E=Other drugs,D=Special coverage instructions apply,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0107=PAYMENT IS FOR HOSPITAL OUTPATIENT ONLY. NOT PAYABLE UNDER THE PHYSICIAN FEE SCHEDULE; IN ACCORDANCE WITH FR DATE 8/9/2002 (HOPPS), PAGE 52105.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L4070,Replace proximal and distal upright for kafo,,,FALSE,C0499807,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4000-L4210,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A7031,"Face mask interface, replacement for full face mask, each",,,FALSE,C1144986,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S5116,"Home care training, non-family; per session",,,FALSE,C1314559,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",,,FALSE,C1616344,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0510-Q0514,N=No maintenance for this code,20060101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",0129=MMA section 303(e).,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/J9313,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg",,,FALSE,C5227125,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20191001,0,O1D=Chemotherapy,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,20191001,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6568,"Gradient compression garment, torso and shoulder, each",,,FALSE,C5883910,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9088,"Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive without current clinical, radiologic, or biochemical evidence of disease (for use in a medicare-approved demonstration project)",,,FALSE,C1616324,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L8607,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies",,,FALSE,C4067620,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8603-L8607,N=No maintenance for this code,20160101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20160101,,,A=Not applicable as HCPCS priced under one methodology,65.9,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G8967,Fda approved oral anticoagulant is prescribed,,,FALSE,C3534743,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20220101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1189,Documentation of a kidney health evaluation defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) performed,,,FALSE,C5771695,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J3302,"Injection, triamcinolone diacetate, per 5 mg",,,FALSE,C0499015,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19910101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9143-G9143,Warfarin Responsiveness Testing,,,FALSE,C4542606,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/T4537,"Incontinence product, protective underpad, reusable, bed size, each",,,FALSE,C1509119,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20050101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8834,Patient discharged to home no later than post-operative day #2 following cea,,,FALSE,C3248570,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",,,FALSE,C0498444,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,19930101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19930101,60-4,,A=Not applicable as HCPCS priced under one methodology,4107.9,,,,33=Oxygen and oxygen equipment (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6628,"Upper extremity addition, quick disconnect hook adapter, otto bock or equal",,,FALSE,C0500033,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1768,"Graft, vascular",,,FALSE,C1964018,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6413,"Adhesive bandage, first-aid type, any size, each",,,FALSE,C1971390,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6413-A6461,N=No maintenance for this code,20080101,0,D1A=Medical/surgical supplies,S=Non-covered by Medicare statute,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(s)(5),"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9713,Patients who use hospice services any time during the measurement period,,,FALSE,C4283832,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9190,"Documentation of medical reason(s) for not prescribing beta-blocker therapy (eg, allergy, intolerance, other medical reasons)",,,FALSE,C3710294,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L0810,"Halo procedure, cervical halo incorporated into jacket vest",,,FALSE,C0499435,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0810-L0861,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G6001,Ultrasonic guidance for placement of radiation therapy fields,,,FALSE,C0203348,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G6001-G6002,N=No maintenance for this code,20150101,0,I3F=Echography/ultrasonography - other,D=Special coverage instructions apply,20150101,50-7,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5450,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee",,,FALSE,C0499848,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5400-L5460,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S5570,"Insulin delivery device, disposable pen (including insulin); 1.5 ml size",,,FALSE,C1314593,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5550-S5571,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/P9048,"Infusion, plasma protein fraction (human), 5%, 250 ml",,,FALSE,C0993993,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20020101,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",,,FALSE,C0812601,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8840,"Documentation of reason(s) for not documenting an assessment of sleep symptoms (e.g., patient didn't have initial daytime sleepiness, patient visited between initial testing and initiation of therapy)",,,FALSE,C3248576,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20150101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L7185,"Electronic elbow, adolescent, variety village or equal, switch controlled",,,FALSE,C2092597,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7170-L7191,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1811,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units",,,FALSE,C5884055,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9302,"Injection, zanidatamab-hrii, 2 mg",,,FALSE,C5979712,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,D=Special coverage instructions apply,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4239,"Amnio-maxx or amnio-maxx lite, per square centimeter",,,FALSE,C5439783,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9680,This code is for onsite acute care treatment of a nursing facility resident with chf; may only be billed once per day per beneficiary,,,FALSE,C4316244,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20161001,0,Z2=Undefined codes,C=Carrier judgment,20161001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9226,"Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed)",,,FALSE,C3710330,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/H0011,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient),,,FALSE,C0919047,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9056,Oncology; practice guidelines; management adheres to guidelines (for use in a medicare-approved demonstration project),,,FALSE,C1616320,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T2043,Hospice continuous home care; per hour,,,FALSE,C1314643,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C1719,"Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source",,,FALSE,C0993730,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1716-C1719,N=No maintenance for this code,20010401,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(T),6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8666,"Residual score for the shoulder impairment not measured because the patient did not complete the shoulder fs prom at initial evaluation and/or near discharge, reason not given",,,FALSE,C5229132,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4247,"Betadine or iodine swabs/wipes, per box",,,FALSE,C0497796,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20070101,0,D1A=Medical/surgical supplies,C=Carrier judgment,19850101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,S=Surgical dressings or other medical supplies (eff 04/95)|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4346,"Shelter dm matrix, per square centimeter",,,FALSE,C5974423,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E0172,"Seat lift mechanism placed over or on top of toilet, any type",,,FALSE,C1621031,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0163-E0175,N=No maintenance for this code,20060101,0,D1E=Other DME,S=Non-covered by Medicare statute,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861SSA,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4593,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller",,,FALSE,C5974085,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,"P=Payment change (MOG, pricing indicator codes, anesthesia base units, Ambulatory Surgical Centers)",20250401,0,D1E=Other DME,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0604,"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each",,,FALSE,C1314437,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0455-K0605,N=No maintenance for this code,20030401,0,D1E=Other DME,C=Carrier judgment,20030401,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",,,FALSE,C0500360,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,N=No maintenance for this code,19850101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0052,Patients on peritoneal dialysis for any portion of the reporting month,,,FALSE,C5574477,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3254,Non-standard size or width,,,FALSE,C0499682,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4187,"Epicord, per square centimeter",,,FALSE,C4746483,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/M1180,Patients on immune checkpoint inhibitor therapy,,,FALSE,C5771686,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9134,"Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; stage i, ii at diagnosis, not relapsed, not refractory (for use in a medicare-approved demonstration project)",,,FALSE,C1971326,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K0020,"Fixed, adjustable height armrest, pair",,,FALSE,C0499181,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,19940101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q5004,Hospice care provided in skilled nursing facility (snf),,,FALSE,C1739998,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5001-Q5010,N=No maintenance for this code,20070101,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0133=SEE ONLINE MANUAL 100-02.9.,,1=Medical care|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/P9021,"Red blood cells, each unit",,,FALSE,C0500249,http://purl.bioontology.org/ontology/STY/T031,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20010101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,19870101,,,A=Not applicable as HCPCS priced under one methodology,2455A,,,,52=Reasonable charge,,,"0=Whole blood only eff 01/96, whole blood or packed red cells before 01/96",,,,http://purl.bioontology.org/ontology/STY/T031
http://purl.bioontology.org/ontology/HCPCS/L1040,"Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad",,,FALSE,C0499459,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1000-L1120,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each",,,FALSE,C1314230,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9555,"Documentation of medical reason(s) for recommending follow up imaging (e.g., patient has multiple endocrine neoplasia, patient has cervical lymphadenopathy, other medical reason(s))",,,FALSE,C4050182,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2606,"Positioning wheelchair seat cushion, width 22 inches or greater, any depth",,,FALSE,C1508930,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2601-E2621,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6211,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",,,FALSE,C0520035,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2207,"Reason for not administering adjuvant treatment course including both chemotherapy and her2-targeted therapy (e.g. poor performance status (ecog 3-4; karnofsky <=50), cardiac contraindications, insufficient renal function, insufficient hepatic function, other active or secondary cancer diagnoses, other medical contraindications, patients who died during initial treatment course or transferred during or after initial treatment course)",,,FALSE,C5439720,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J2274,"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg",,,FALSE,C3871399,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,20150101,60-14,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7205,"Injection, factor viii fc fusion protein (recombinant), per iu",,,FALSE,C4067607,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20160101,0,O1E=Other drugs,D=Special coverage instructions apply,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,51=Drugs,"0127=PUBLICATION 100.2, CHAPTER 15, 50.1.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0530,"Adult day center, 8-hour unit, for use in cmmi model",,,FALSE,C5974163,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0519-G0531,N=No maintenance for this code,20240701,0,Z2=Undefined codes,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,Medical and Surgical Supplies - Miscellaneous Supplies,,,FALSE,C4542548,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4034-B4088,Enteral Feeding Supplies,,,FALSE,C0812894,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20B4000-B9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0136,"Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg",,,FALSE,C5771600,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7517,"Mycophenolate mofetil, oral, 250 mg",,,FALSE,C0499350,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20000101,0,O1E=Other drugs,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care|G=Immunosuppressive drugs,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/STY/T100,Age Group,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T096,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T101,Patient or Disabled Group,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T096,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T103,Chemical,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T167,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T102,Group Attribute,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T077,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T104,Chemical Viewed Structurally,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T103,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T109,Organic Chemical,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T104,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/HCPCS/E1033,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type",,,FALSE,C5979719,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1031-E1039,A=Add procedure or modifier code,20250401,0,D1D=Wheelchairs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0040,Patient already receiving physical/occupational/speech/recreational therapy during the measurement period,,,FALSE,C5574466,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0121,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,,,FALSE,C0520135,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0117-G0124,N=No maintenance for this code,20240101,0,P8D=Endoscopy - colonoscopy,D=Special coverage instructions apply,19980101,,,A=Not applicable as HCPCS priced under one methodology,,20010701,,YY,11=Price established using national RVU's,"0064=COVERAGE AND PAYMENT BASED ON BALANCED BUDGET ACT OF 1997 (G0101 - SEC 4102; G0104, G0105, G0106, G0107, G0120, G0121, G0122, G0128 - SEC 4104).",,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G9894,Androgen deprivation therapy prescribed/administered in combination with external beam radiotherapy to the prostate,,,FALSE,C4542729,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L2005,"Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated",,,FALSE,C1509056,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2000-L2038,N=No maintenance for this code,20120101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1952,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf",,,FALSE,C5979744,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1900-L1990,A=Add procedure or modifier code,20250401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1421,Dermatological care mips value pathway,,,FALSE,C5974368,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A9607,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie",,,FALSE,C5771510,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20221001,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,57=Other carrier priced,,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/H2001,"Rehabilitation program, per 1/2 day",,,FALSE,C1145185,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0619,"Apnea monitor, with recording feature",,,FALSE,C1145088,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0607-E0620,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1728,"Catheter, brachytherapy seed administration",,,FALSE,C0993739,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G6015,"Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session",,,FALSE,C3854155,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G6003-G6017,N=No maintenance for this code,20150101,0,P7A=Oncology - radiation therapy,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",,,FALSE,C0520176,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2252,"Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg",,,FALSE,C5974255,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20241001,0,O1E=Other drugs,D=Special coverage instructions apply,20241001,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0187,Water pressure mattress,,,FALSE,C0498385,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0181-E0199,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/B4088,"Gastrostomy/jejunostomy tube, low-profile, any material, any type, each",,,FALSE,C1971411,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4034-B4088,N=No maintenance for this code,20160101,0,O1C=Enteral and parenteral,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9144,"Injection, daratumumab, 10 mg and hyaluronidase-fihj",,,FALSE,C5439751,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20210101,0,O1D=Chemotherapy,C=Carrier judgment,20210101,,,A=Not applicable as HCPCS priced under one methodology,,20210101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9316,"Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family",,,FALSE,C3710416,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4311,"Acesso, per square centimeter",,,FALSE,C5974388,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J1120,"Injection, acetazolamide sodium, up to 500 mg",,,FALSE,C0498837,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9120,"Injection, dactinomycin, 0.5 mg",,,FALSE,C0776123,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L2405,"Addition to knee joint, drop lock, each",,,FALSE,C0499594,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2405-L2492,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1004,"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction",,,FALSE,C1314318,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0716,"Injection, centruroides immune f(ab)2, up to 120 milligrams",,,FALSE,C3534683,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20130101,0,O1E=Other drugs,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,20130101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8568,"Patient was not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given",,,FALSE,C2729210,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3520,"Orthopedic shoe addition, insole, felt covered with leather",,,FALSE,C0499713,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3500-L3595,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1305,"Injection, evinacumab-dgnb, 5mg",,,FALSE,C5574554,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20211001,0,O1E=Other drugs,C=Carrier judgment,20211001,,,A=Not applicable as HCPCS priced under one methodology,,20211001,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,"Miscellaneous Services, Diagnostic and Therapeutic",,,FALSE,C5228954,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V2750,"Anti-reflective coating, per lens",,,FALSE,C0500418,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,2130B,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E1406,Oxygen and water vapor enriching system without heated delivery,,,FALSE,C0498649,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1352-E1406,N=No maintenance for this code,19900101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19880101,60-4,,A=Not applicable as HCPCS priced under one methodology,4107,,,,33=Oxygen and oxygen equipment (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0621-E0642,Patient Lifts,,,FALSE,C0181622,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0517,"Injection, benralizumab, 1 mg",,,FALSE,C4746292,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6558,"Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each",,,FALSE,C5883900,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8946,"Minimally invasive biopsy method attempted but not diagnostic of breast cancer (e.g., high risk lesion of breast such as atypical ductal hyperplasia, lobular neoplasia, atypical lobular hyperplasia, lobular carcinoma in situ, atypical columnar hyperplasia, flat epithelial atypia, radial scar, complex sclerosing lesion, papillary lesion, or any lesion with spindle cells)",,,FALSE,C3534764,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J9357,"Injection, valrubicin, intravesical, 200 mg",,,FALSE,C0812753,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1E=Other drugs,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9548,Final reports for imaging studies stating no follow-up imaging is recommended,,,FALSE,C5229142,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G8569,Prolonged postoperative intubation (> 24 hrs) required,,,FALSE,C2729211,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20140101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6682,"Upper extremity addition, test socket, elbow disarticulation or above elbow",,,FALSE,C0500052,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9385,"Documentation of patient reason(s) for not receiving annual screening for hcv infection (e.g., patient declined, other patient reasons)",,,FALSE,C3871297,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2385,"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each",,,FALSE,C1742207,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20070101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q5114,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",,,FALSE,C5229217,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20190701,0,O1E=Other drugs,C=Carrier judgment,20190701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1611,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg",,,FALSE,C5771618,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230101,0,O1E=Other drugs,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,2049,20230101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4543,"Supplies for transcutaneous electrical nerve stimulator, for nerves in the auricular region, per month",,,FALSE,C5974079,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20241001,0,D1E=Other DME,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4017,"Cast supplies, long arm splint, adult (11 years +), plaster",,,FALSE,C0994012,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2399,Specialty trifocal (by report),,,FALSE,C0500378,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K0004,"High strength, lightweight wheelchair",,,FALSE,C0499165,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,19940101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,http://purl.bioontology.org/ontology/HCPCS/E1089|http://purl.bioontology.org/ontology/HCPCS/E1090,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9374,"Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994244,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M0300,Iv chelation therapy (chemical endarterectomy),,,FALSE,C0500226,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,19960101,0,Y2=Other - Non-Medicare fee schedule,M=Non-covered by Medicare,19860101,35-64,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4010,"Cast supplies, short arm cast, adult (11 years +), fiberglass",,,FALSE,C0994005,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A5093,Ostomy accessory; convex insert,,,FALSE,C0497955,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5051-A5093,N=No maintenance for this code,19900101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8842,"Apnea hypopnea index (ahi), respiratory disturbance index (rdi) or respiratory event index (rei) documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea",,,FALSE,C5974197,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20250101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9188,"Beta-blocker therapy not prescribed, reason not given",,,FALSE,C3710292,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1135,The start of an episode of care documented in the medical record,,,FALSE,C5203706,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0081-Q0081,Infusion Therapy,,,FALSE,C4316303,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8658,"Residual score for the lower leg, foot or ankle impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge, reason not given",,,FALSE,C4746332,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G6008,"Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 6-10 mev",,,FALSE,C0373372,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G6003-G6017,N=No maintenance for this code,20150101,0,P7A=Oncology - radiation therapy,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0586,"Injection, abobotulinumtoxina, 5 units",,,FALSE,C2729275,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20100101,0,O1E=Other drugs,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,20100101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0018,"Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); each additional 30 minutes (list separately in addition to code for primary service)",,,FALSE,C5884000,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0017-G0018,N=No maintenance for this code,20240101,0,M5D=Specialist - other,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S2202,Echosclerotherapy,,,FALSE,C0919179,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2000-L2038,Hip-Knee-Ankle-Foot Orthotics or Any Combination,,,FALSE,C2368638,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1600-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T2004,"Non-emergency transport; commercial carrier, multi-pass",,,FALSE,C1145380,http://purl.bioontology.org/ontology/STY/T057,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T057
http://purl.bioontology.org/ontology/HCPCS/L3485,"Heel, pad, removable for spur",,,FALSE,C0499710,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3430-L3485,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9994,Patient is using palliative care services any time during the measurement period,,,FALSE,C5552825,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4550,Surgical trays,,,FALSE,C0182414,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20000101,0,Y1=Other - Medicare fee schedule,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,15030,,,,11=Price established using national RVU's,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6642,"Upper extremity addition, excursion amplifier, lever type",,,FALSE,C0500041,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S5161,"Emergency response system; service fee, per month (excludes installation and testing)",,,FALSE,C1314575,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L1020,"Addition to ctlso or scoliosis orthosis, kyphosis pad",,,FALSE,C0499456,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1000-L1120,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1814,"Insulin (lyumjev), per 5 units",,,FALSE,C5884058,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230701,0,O1E=Other drugs,D=Special coverage instructions apply,20230701,60-14,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2106,Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period,,,FALSE,C5203681,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G1027,The number of adult patient-months in the denominator who were on maintenance hemodialysis under the care of the same practitioner or group partner as of the last hemodialysis session of the reporting month using a catheter continuously for less than three months,,,FALSE,C5574499,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G1000-G1028,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0156,"Services of home health/hospice aide in home health or hospice settings, each 15 minutes",,,FALSE,C0812717,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20100101,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,19990701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0082=G0151-G0156 MAY BE BILLED ONLY FOR HOME HEALTH CARE SERVICES PROVIDED UNDER A PLAN OF CARE. SEE CR#588.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0110-E0118,Crutches,,,FALSE,C0010397,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P9023,"Plasma, pooled multiple donor, solvent/detergent treated, frozen, each unit",,,FALSE,C0812761,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20010101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2455 B,,,,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/E2622,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth",,,FALSE,C2958935,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2622-E2625,N=No maintenance for this code,20110101,0,D1D=Wheelchairs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9312,Surgical site infection,,,FALSE,C0038941,http://purl.bioontology.org/ontology/STY/T046,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T046
http://purl.bioontology.org/ontology/HCPCS/M1020,Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq-9 or phq-9m score was not assessed or is greater than or equal to 5,,,FALSE,C4746442,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/T4526,"Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each",,,FALSE,C1509108,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20050101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",,,FALSE,C1508935,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2601-E2621,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9006,"Coordinated care fee, home monitoring",,,FALSE,C0919033,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9001-G9012,N=No maintenance for this code,20001001,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20001001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0097=FOR INSTRUCTIONS RELATED TO THE MEDICARE COORDINATED CARE DEMONSTRATION (MCCD) SEF CR1050, 1116 AND 1118.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/H2026,"Ongoing support to maintain employment, per diem",,,FALSE,C1314399,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K0046,"Elevating legrest, lower extension tube, replacement only, each",,,FALSE,C0499205,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/E0749,"Osteogenesis stimulator, electrical, surgically implanted",,,FALSE,C0498507,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20000701,0,D1E=Other DME,D=Special coverage instructions apply,19860101,35-48,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q5126,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg",,,FALSE,C5771723,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20230101,0,O1D=Chemotherapy,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1560,"Injection, gamma globulin, intramuscular, over 10 cc",,,FALSE,C0498876,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20170101,0,O1E=Other drugs,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,20170101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0606,Postural drainage board,,,FALSE,C0498471,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0605-E0606,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2319,Trifocal seg width over 28 mm,,,FALSE,C0500376,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J9216,"Injection, interferon, gamma 1-b, 3 million units",,,FALSE,C0499139,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20190101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19930101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,G=Immunosuppressive drugs,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5680,"Addition to lower extremity, below knee, thigh lacer, nonmolded",,,FALSE,C0499919,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A9901,"Dme delivery, set up, and/or dispensing service component of another hcpcs code",,,FALSE,C0812627,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9900-A9999,N=No maintenance for this code,20010101,0,D1E=Other DME,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/V5014,Repair/modification of a hearing aid,,,FALSE,C0500428,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5008-V5020,N=No maintenance for this code,19950101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19900101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0382,"Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)",,,FALSE,C1738558,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0378-G0384,N=No maintenance for this code,20080101,0,M3=Emergency room visit,C=Carrier judgment,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J2550,"Injection, promethazine hcl, up to 50 mg",,,FALSE,C0498961,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A7521,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each",,,FALSE,C1314261,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7501-A7527,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9512,"Technetium tc-99m pertechnetate, diagnostic, per millicurie",,,FALSE,C1144997,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0978,Axillary crutch extension,,,FALSE,C0499450,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0970-L0999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2521,"Contact lens, hydrophilic, toric, or prism ballast, per lens",,,FALSE,C0500391,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2500-V2599,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,45-7|65-1,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V2212,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens",,,FALSE,C0500347,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4201,"Matrion, per square centimeter",,,FALSE,C4746495,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/C1734,Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone (implantable),,,FALSE,C5228999,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20230101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),F=Ambulatory surgical center (facility usage for surgical services)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1811,"Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories",,,FALSE,C0993872,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,C=Change in long description of procedure or modifier code,20250401,0,D1E=Other DME,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7563,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery, initial artery and all additional arteries",,,FALSE,C5974099,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20250101,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,20250101,,YY,99=Value not established,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/H0030,Behavioral health hotline service,,,FALSE,C0919066,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9949,Leg pain was not measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively,,,FALSE,C5229151,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,B=High risk screening mammography (obsolete 1/1/98),,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9868,"Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, less than 10 minutes",,,FALSE,C5574542,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20210401,0,M5D=Specialist - other,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4630,"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient",,,FALSE,C0497887,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4630-A4640,N=No maintenance for this code,20060101,0,D1E=Other DME,D=Special coverage instructions apply,19910101,65-8,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8046,"Partial facial prosthesis, provided by a non-physician",,,FALSE,C0919106,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8040-L8049,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9843,Ras (kras or nras) gene mutation,,,FALSE,C4542728,http://purl.bioontology.org/ontology/STY/T049,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T049
http://purl.bioontology.org/ontology/HCPCS/K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",,,FALSE,C1314439,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0606-K0609,N=No maintenance for this code,20030701,0,D1E=Other DME,C=Carrier judgment,20030701,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2105,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens",,,FALSE,C0500320,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2100-V2199,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J9354,"Injection, ado-trastuzumab emtansine, 1 mg",,,FALSE,C3700833,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20140101,0,O1D=Chemotherapy,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,20140101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4305,"American amnion ac tri-layer, per square centimeter",,,FALSE,C5974382,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/C1755,"Catheter, intraspinal",,,FALSE,C0878939,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8909,Patient documented not to have received a burn prior to discharge,,,FALSE,C3534792,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120401,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",,,FALSE,C0497816,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,19900101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9745,Documented reason for not screening or recommending a follow-up for high blood pressure,,,FALSE,C4316201,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G2127,Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period,,,FALSE,C5203285,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/K0899,"Power mobility device, not coded by dme pdac or does not meet criteria",,,FALSE,C1743178,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20160101,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1355,Suicide risk based on their clinician's evaluation or a clinician-rated tool,,,FALSE,C5849246,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J9248,"Injection, melphalan (hepzato), 1 mg",,,FALSE,C5974289,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240401,0,O1D=Chemotherapy,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,20240401,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",,,FALSE,C0498414,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19910101,0,D1B=Hospital beds,D=Special coverage instructions apply,19860101,60-18,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0342,"Lifestyle modification program for management of coronary artery disease, including all supportive services; fourth quarter / stage",,,FALSE,C0994081,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9349,"Home infusion therapy, tocolytic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994228,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1634,"Peritoneal dialysis clamps, each",,,FALSE,C1314331,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2020,Services for high intensity clinical services associated with the initial engagement and outreach of beneficiaries assigned to the sip component of the pcf model (do not bill with chronic care management codes),,,FALSE,C5574501,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210401,0,Z2=Undefined codes,C=Carrier judgment,20210401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0069,"Professional services for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes",,,FALSE,C4746304,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0068-G0090,N=No maintenance for this code,20210101,0,M4A=Home visit,D=Special coverage instructions apply,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,"0223=THESE G CODES ARE ASSOCIATED WITH A NEW PART B BENEFIT CATEGORY ESTABLISHED BY THE FOLLOWING SECTIONS IN THE SOCIAL SECURITY ACT: 1861(s)(2)(GG), 1861(iii), 1834(u).",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S2142,"Cord blood-derived stem-cell transplantation, allogeneic",,,FALSE,C0919177,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A7049,Expiratory positive airway pressure intranasal resistance valve,,,FALSE,C5883951,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20230401,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20230401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2320,"Injection, nandrolone decanoate, up to 50 mg",,,FALSE,C0498939,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S9559,"Home injectable therapy, interferon, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994332,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9490-S9810,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0244,Raised toilet seat,,,FALSE,C0498408,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0240-E0248,N=No maintenance for this code,19960101,0,D1E=Other DME,M=Non-covered by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8648,Residual score for the knee impairment successfully calculated and the score was less than zero (< 0),,,FALSE,C4746323,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G2194,Patients with clinical indications for imaging of the head: new onset headache in pediatric patients with disabilities for which headache is a concern as inferred from behavior,,,FALSE,C5439707,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q5009,Hospice or home health care provided in place not otherwise specified (nos),,,FALSE,C1743182,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5001-Q5010,N=No maintenance for this code,20130701,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0133=SEE ONLINE MANUAL 100-02.9.,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L8615,"Headset/headpiece for use with cochlear implant device, replacement",,,FALSE,C1509069,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8608-L8629,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20050101,65-14,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0299,"Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes",,,FALSE,C4067421,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20151102,0,M5D=Specialist - other,C=Carrier judgment,20151102,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J1747,"Injection, spesolimab-sbzo, 1 mg",,,FALSE,C5884053,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230401,0,O1E=Other drugs,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,20230401,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2167,Residual score for the neck impairment successfully calculated and the score was less than zero (< 0),,,FALSE,C5229129,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E2382,"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each",,,FALSE,C1737746,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20070101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1427,"Injection, viltolarsen, 10 mg",,,FALSE,C5551014,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20210401,0,O1E=Other drugs,C=Carrier judgment,20210401,,,A=Not applicable as HCPCS priced under one methodology,,20210401,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9583,"Injection, gadofosveset trisodium, 1 ml",,,FALSE,C2729456,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20100101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S2070,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization)",,,FALSE,C1314509,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,Supplies: Cast (CMS Temporary Codes),,,FALSE,C2729412,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9870,"Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, more than 20 minutes",,,FALSE,C5574544,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20210401,0,M5D=Specialist - other,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0329,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care",,,FALSE,C1508970,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20040701,0,I2B=Advanced imaging - CAT/CT/CTA: other,C=Carrier judgment,20040701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,W=Physical therapy|U=Occupational therapy|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5692,"Addition to lower extremity, above knee, pelvic control belt, light",,,FALSE,C0499925,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1300,"Whirlpool, portable (overtub type)",,,FALSE,C0498626,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1300-E1310,N=No maintenance for this code,19960101,0,D1E=Other DME,M=Non-covered by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8040-L8049,"Prosthetic Procedures - Nasal, Orbital, Auricular Prosthesis",,,FALSE,C3871227,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L7700-L8499,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9314,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg",,,FALSE,C5884284,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240701,0,O1D=Chemotherapy,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5160,"Dispensing fee, binaural",,,FALSE,C0500443,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,19950101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9513,Individual did not have a pdc of 0.8 or greater,,,FALSE,C4067464,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S3849,Genetic testing for niemann-pick disease,,,FALSE,C1314545,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S3800-S3870,N=No maintenance for this code,20030701,0,Z2=Undefined codes,I=Not payable by Medicare,20030701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6920-L6975,Prosthetic Procedures - External Power,,,FALSE,C0813105,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4927,"Gloves, non-sterile, per 100",,,FALSE,C0497937,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0416,"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method",,,FALSE,C3871266,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0416-G0416,N=No maintenance for this code,20150101,0,T1G=Lab test - other (Medicare fee schedule),C=Carrier judgment,20090101,,610=Histopathology,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/B4222,"Parenteral nutrition supply kit; home mix, per day",,,FALSE,C0498000,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4164-B5200,N=No maintenance for this code,20020101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19860101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0780,"Injection, prochlorperazine, up to 10 mg",,,FALSE,C0498811,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C0499503,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,N=No maintenance for this code,20241001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9360,"Injection, vinblastine sulfate, 1 mg",,,FALSE,C0499156,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8955,Most recent assessment of adequacy of volume management documented,,,FALSE,C3534755,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20160101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J1434,"Injection, fosaprepitant (focinvez), 1 mg",,,FALSE,C5974243,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7330,"Autologous cultured chondrocytes, implant",,,FALSE,C0919076,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7330-J7402,N=No maintenance for this code,20020701,0,O1E=Other drugs,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6708,"Terminal device, hand, mechanical, voluntary opening, any material, any size",,,FALSE,C1737764,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6700-L6882,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4770,"Blood collection tube, vacuum, for dialysis, per 50",,,FALSE,C0993700,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1328,Patients with a diagnosis of acute vitreous hemorrhage,,,FALSE,C5884193,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J1945,"Injection, lepirudin, 50 mg",,,FALSE,C0919146,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,0095=AS REQUIRED BY BBRA SECTION 201.,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0425,"Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth",,,FALSE,C2729183,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0425-G0427,N=No maintenance for this code,20120101,0,M6=Consultations,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,3=Consultation,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9343,"Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem",,,FALSE,C0994223,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0920,"Fracture frame, attached to bed, includes weights",,,FALSE,C0498525,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,19890101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6400,"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping",,,FALSE,C0500014,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6400-L6570,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9165,"Injection, diethylstilbestrol diphosphate, 250 mg",,,FALSE,C0499126,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19880101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9050,"Oncology; primary focus of visit; work-up, evaluation, or staging at the time of cancer diagnosis or recurrence (for use in a medicare-approved demonstration project)",,,FALSE,C1620996,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2840,"Addition to lower extremity orthosis, tibial length sock, fracture or equal, each",,,FALSE,C0499634,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2750-L2999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0442,"Annual alcohol misuse screening, 5 to 15 minutes",,,FALSE,C3248413,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0438-G0451,N=No maintenance for this code,20230101,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20111014,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V5230,"Hearing aid, contralateral routing system, binaural, glasses",,,FALSE,C4746521,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20190101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8942,"Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment",,,FALSE,C3534768,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20240101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0738,"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories",,,FALSE,C5974130,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20241001,0,D1E=Other DME,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q9967,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",,,FALSE,C1971372,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9950-Q9969,N=No maintenance for this code,20080101,0,I1E=Standard imaging - nuclear medicine,D=Special coverage instructions apply,20080101,,,A=Not applicable as HCPCS priced under one methodology,15022,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/J2150,"Injection, mannitol, 25% in 50 ml",,,FALSE,C0498926,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1265,"Injection, dopamine hcl, 40 mg",,,FALSE,C1314493,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20060101,0,O1E=Other drugs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1399,Patients who leave the practice during the follow-up period,,,FALSE,C5974346,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J1459,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",,,FALSE,C2368482,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20090101,0,O1E=Other drugs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,20090101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/T2007,"Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments",,,FALSE,C1145383,http://purl.bioontology.org/ontology/STY/T079,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T079
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0678-E0683,Non-pneumatic Compressor and Appliances,,,FALSE,C5884290,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0457,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated, off-the-shelf",,,FALSE,C3710475,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1030,"Addition to ctlso or scoliosis orthosis, lumbar bolster pad",,,FALSE,C0499458,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1000-L1120,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1900,"Lead, left ventricular coronary venous system",,,FALSE,C1145020,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20020701,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20020701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4212,Non-coring needle or stylet with or without catheter,,,FALSE,C0497783,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,20000101,0,D1A=Medical/surgical supplies,C=Carrier judgment,19930101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A0998,"Ambulance response and treatment, no transport",,,FALSE,C1145382,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20060101,0,O1A=Ambulance,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",,,FALSE,C0497996,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4164-B5200,N=No maintenance for this code,20020101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19880101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/T1023,"Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter",,,FALSE,C1145365,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2251,"Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg",,,FALSE,C5974254,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20241001,0,O1E=Other drugs,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2143,Functional status measured by the oswestry disability index (odi version 2.1a) at one year (9 to 15 months) postoperatively was greater than 22 and functional status measured by the odi version 2.1a within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated an improvement of less than 30 points,,,FALSE,C5229105,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G2128,"Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet (e.g. history of gastrointestinal bleed, intra-cranial bleed, blood disorders, idiopathic thrombocytopenic purpura (itp), gastric bypass or documentation of active anticoagulant use during the measurement period)",,,FALSE,C5229096,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0198,"Water pressure pad for mattress, standard mattress length and width",,,FALSE,C0520104,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0181-E0199,N=No maintenance for this code,20140401,0,D1E=Other DME,D=Special coverage instructions apply,19910101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9530,Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider,,,FALSE,C4746354,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A7009,"Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer",,,FALSE,C0499305,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20000101,0,D1E=Other DME,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9144,"Injection, bupivacaine (posimir), 1 mg",,,FALSE,C5771574,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20230101,0,O1E=Other drugs,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,51=Drugs,,1833(t),9=Other medical items or services|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5271,"Assistive listening device, television caption decoder",,,FALSE,C0994333,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5268-V5290,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4218,"Sterile saline or water, metered dose dispenser, 10 ml",,,FALSE,C1618910,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,20060101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0127=PUBLICATION 100.2, CHAPTER 15, 50.1.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",,,FALSE,C0520180,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6570,"Gradient compression garment, genital region, each",,,FALSE,C5883912,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6221,"Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing",,,FALSE,C0520183,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2860,"Injection, siltuximab, 10 mg",,,FALSE,C4067410,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1263,Patients in hospice on their initiation of dialysis date or during the month of evaluation,,,FALSE,C5884168,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/K1036,"Supplies and accessories (e.g., transducer) for low frequency ultrasonic diathermy treatment device, per month",,,FALSE,C5884111,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K1030-K1037,N=No maintenance for this code,20231001,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20231001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1185,"Documentation of immune checkpoint inhibitor therapy not held and/or corticosteroids or immunosuppressants prescribed or administered was not performed, reason not given",,,FALSE,C5771691,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L8460,"Prosthetic shrinker, above knee, each",,,FALSE,C0500177,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8400-L8485,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2133,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6246,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing",,,FALSE,C0520055,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2607,"Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth",,,FALSE,C1508931,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2601-E2621,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",,,FALSE,C0500147,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8000-L8039,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2130 A,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9359,"Injection, loncastuximab tesirine-lpyl, 0.075 mg",,,FALSE,C5771645,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20220401,0,O1E=Other drugs,C=Carrier judgment,20220401,,,A=Not applicable as HCPCS priced under one methodology,,20220401,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4304,"Grafix plus, per square centimeter",,,FALSE,C5884271,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L0626,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C1618378,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0625-L0627,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q9992,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg",,,FALSE,C4746509,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9982-Q9999,N=No maintenance for this code,20180701,0,O1E=Other drugs,C=Carrier judgment,20180701,,,A=Not applicable as HCPCS priced under one methodology,,20180701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L8629,"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement",,,FALSE,C2729361,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8608-L8629,N=No maintenance for this code,20100101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20100101,65-14,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2510,"Injection, penicillin g procaine, aqueous, up to 600,000 units",,,FALSE,C0498955,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,20230101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7332,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg",,,FALSE,C5229167,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7330-J7402,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K0601,"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each",,,FALSE,C1314434,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0455-K0605,N=No maintenance for this code,20030401,0,D1E=Other DME,C=Carrier judgment,20030401,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4510,"Surgical stockings full length, each",,,FALSE,C0497864,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2100|2079,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C8929,"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography",,,FALSE,C2368652,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8921-C8930,N=No maintenance for this code,20090101,0,I3C=Echography/ultrasonography - heart,D=Special coverage instructions apply,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A7020,"Interface for cough stimulating device, includes all components, replacement only",,,FALSE,C2959348,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20110101,0,D1E=Other DME,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/S5013,"5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1000 ml",,,FALSE,C0919195,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4990-S5014,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1007,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction",,,FALSE,C1314321,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S3650,"Saliva test, hormone level; during menopause",,,FALSE,C0812823,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/J7295,"Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each",,,FALSE,C5574562,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7294-J7307,N=No maintenance for this code,20211001,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20211001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862(a)(1),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0609,"Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis)",,,FALSE,C5974227,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",,,FALSE,C0812612,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9797,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction",,,FALSE,C5974114,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20240101,0,P1G=Major procedure - other,D=Special coverage instructions apply,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1234,"Patient has a reactive hcv antibody test, and has a follow up hcv viral test that does not detect hcv viremia",,,FALSE,C5884139,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C7516,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report",,,FALSE,C5771530,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P2F=Major procedure - cardiovascular - Other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/J2002,"Injection, lidocaine hcl in 5% dextrose, 1 mg",,,FALSE,C5974249,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,D=Special coverage instructions apply,20241001,,,A=Not applicable as HCPCS priced under one methodology,2049,20250101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4262,"Dual layer impax membrane, per square centimeter",,,FALSE,C5771719,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230101,0,O1E=Other drugs,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E2358,"Power wheelchair accessory, group 34 non-sealed lead acid battery, each",,,FALSE,C3248406,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20120101,0,D1D=Wheelchairs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9310,Unplanned hospital readmission within 30 days of principal procedure,,,FALSE,C3710411,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E2625,"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth",,,FALSE,C2958938,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2622-E2625,N=No maintenance for this code,20110101,0,D1D=Wheelchairs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2104,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens",,,FALSE,C0500319,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2100-V2199,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C7529,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress",,,FALSE,C5771543,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P2F=Major procedure - cardiovascular - Other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/E2226,"Manual wheelchair accessory, caster fork, any size, replacement only, each",,,FALSE,C1619365,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0040,"Adjustable angle footplate, each",,,FALSE,C0499199,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,19940101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9569,"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose",,,FALSE,C1971402,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/A9515,"Choline c-11, diagnostic, per study dose up to 20 millicuries",,,FALSE,C4283865,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/Q4258,"Enverse, per square centimeter",,,FALSE,C5771716,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20220401,0,O1E=Other drugs,C=Carrier judgment,20220401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/C7564,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vessel(s)) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation",,,FALSE,C5974100,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20250101,0,P1G=Major procedure - other,D=Special coverage instructions apply,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,20250101,,YY,99=Value not established,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/H2017,"Psychosocial rehabilitation services, per 15 minutes",,,FALSE,C1314390,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A9500,"Technetium tc-99m sestamibi, diagnostic, per study dose",,,FALSE,C0520081,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20100101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,19960101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/A2007,"Restrata, per square centimeter",,,FALSE,C5574426,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20220101,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20220101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4371,"Ostomy skin barrier, powder, per oz",,,FALSE,C0812599,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A0090,"Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest",,,FALSE,C0497714,http://purl.bioontology.org/ontology/STY/T057,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20030101,0,O1A=Ambulance,I=Not payable by Medicare,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T057
http://purl.bioontology.org/ontology/HCPCS/G9764,Patient has been treated with a systemic medication for psoriasis vulgaris,,,FALSE,C4316188,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9786,"Pathology report diagnosing cutaneous basal cell carcinoma, squamous cell carcinoma, or melanoma (to include in situ disease) was not sent from the pathologist/ dermatopathologist to the biopsying clinician for review within 7 days from the time when the tissue specimen was received by the pathologist",,,FALSE,C5229148,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1013,Discharge/discontinuation of the episode of care documented in the medical record,,,FALSE,C5203699,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1249,"Patient responded ""completely true"" for the question of patient felt this provider and team understood what is important to me in my life",,,FALSE,C5884154,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3560,"Orthopedic shoe addition, toe tap, horseshoe",,,FALSE,C0499717,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3500-L3595,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4736,"Topical anesthetic, for dialysis, per gram",,,FALSE,C0993696,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C8957,"Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump",,,FALSE,C1742742,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20060101,0,P6D=Minor procedures - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,99=Value not established,,1833(t),1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L8683,Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver,,,FALSE,C0918995,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8678-L8689,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20060101,65-8,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1597,"Injection, glycopyrrolate (glyrx-pf), 0.1 mg",,,FALSE,C5974245,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1002,"Wheelchair accessory, power seating system, tilt only",,,FALSE,C1314316,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S8189,"Tracheostomy supply, not otherwise classified",,,FALSE,C0994174,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8096-S8210,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,Hospital Beds and Accessories,,,FALSE,C0812955,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9323,"Injection, pemetrexed ditromethamine, 10 mg",,,FALSE,C5884104,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20230701,0,O1D=Chemotherapy,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20230701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E2610,"Wheelchair seat cushion, powered",,,FALSE,C1508934,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2601-E2621,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6581,"Gradient compression glove, each",,,FALSE,C5883922,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6554,"Gradient compression stocking, below knee, 40 mmhg or greater, each",,,FALSE,C5883896,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2200,Patient identified as an unhealthy alcohol user received brief counseling,,,FALSE,C5439713,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C7526,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress",,,FALSE,C5771540,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P2F=Major procedure - cardiovascular - Other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,Temporary National Codes Established by Private Payers - Additional Miscellaneous Supplies and Services,,,FALSE,C4542664,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20S0000-S9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4009,"Cast supplies, short arm cast, adult (11 years +), plaster",,,FALSE,C0994004,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G4000,Dermatology mips specialty set,,,FALSE,C5574503,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4348,"Sentry sl matrix, per square centimeter",,,FALSE,C5974425,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J7502,"Cyclosporine, oral, 100 mg",,,FALSE,C0499069,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20000101,0,O1E=Other drugs,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,,,,57=Other carrier priced,,,G=Immunosuppressive drugs|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9604,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel",,,FALSE,C3534809,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9600-C9610,N=No maintenance for this code,20130101,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,"0107=PAYMENT IS FOR HOSPITAL OUTPATIENT ONLY. NOT PAYABLE UNDER THE PHYSICIAN FEE SCHEDULE; IN ACCORDANCE WITH FR DATE 8/9/2002 (HOPPS), PAGE 52105.",1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9355,"Home infusion therapy, chelation therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994231,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C7901,"Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 30-60 minutes, provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service",,,FALSE,C5771570,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20240101,0,M2A=Hospital visit - initial,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J2315,"Injection, naltrexone, depot form, 1 mg",,,FALSE,C1741404,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20070101,0,O1E=Other drugs,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9540,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries",,,FALSE,C1617821,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/SS,Home infusion services provided in the infusion suite of the iv therapy provider,,,FALSE,C1621029,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20041001,,,I=Not payable by Medicare,20041001,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/SD,"Services provided by registered nurse with specialized, highly technical home infusion training",,,FALSE,C0993664,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20010701,,,I=Not payable by Medicare,20010701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/SF,"Second opinion ordered by a professional review organization (pro) per section 9401, p.l. 99-272 (100% reimbursement - no medicare deductible or coinsurance)",,,FALSE,C0497686,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19870101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/SC,Medically necessary service or supply,,,FALSE,C0993663,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20110401,,,C=Carrier judgment,20010701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/SL,State supplied vaccine,,,FALSE,C1144878,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020401,,,I=Not payable by Medicare,20020401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/SH,Second concurrently administered infusion therapy,,,FALSE,C0993666,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20010701,,,I=Not payable by Medicare,20010701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/SY,Persons who are in close contact with member of high-risk population (use only with codes for immunization),,,FALSE,C1508778,http://purl.bioontology.org/ontology/STY/T098,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20050101,,,I=Not payable by Medicare,20050101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T098
http://purl.bioontology.org/ontology/HCPCS/SM,Second surgical opinion,,,FALSE,C1314202,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,I=Not payable by Medicare,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/SV,Pharmaceuticals delivered to patient's home but not utilized,,,FALSE,C1144881,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/SJ,Third or more concurrently administered infusion therapy,,,FALSE,C0993667,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20010701,,,I=Not payable by Medicare,20010701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/SW,Services provided by a certified diabetic educator,,,FALSE,C1508777,http://purl.bioontology.org/ontology/STY/T065,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20040401,,,C=Carrier judgment,20040401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T065
http://purl.bioontology.org/ontology/HCPCS/SG,Ambulatory surgical center (asc) facility service,,,FALSE,C0497687,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19920101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/SA,Nurse practitioner rendering service in collaboration with a physician,,,FALSE,C0993662,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20010701,,,I=Not payable by Medicare,20010701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/SU,Procedure performed in physician's office (to denote use of facility and equipment),,,FALSE,C1144880,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/SN,Third surgical opinion,,,FALSE,C1314203,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020701,,,I=Not payable by Medicare,20020701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/SB,Nurse midwife,,,FALSE,C0028655,http://purl.bioontology.org/ontology/STY/T097,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20010701,,,I=Not payable by Medicare,20010701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T097
http://purl.bioontology.org/ontology/HCPCS/SQ,Item ordered by home health,,,FALSE,C1314204,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20021001,,,I=Not payable by Medicare,20021001,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/SK,Member of high risk population (use only with codes for immunization),,,FALSE,C1144877,http://purl.bioontology.org/ontology/STY/T098,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20020401,,,I=Not payable by Medicare,20020401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T098
http://purl.bioontology.org/ontology/HCPCS/SE,State and/or federally-funded programs/services,,,FALSE,C0993665,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20010701,,,I=Not payable by Medicare,20010701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/ST,Related to trauma or injury,,,FALSE,C1144879,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,I=Not payable by Medicare,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0516-G0518,Non-biodegradable Drug Delivery Implants: Removal and Insertion,,,FALSE,C2193555,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1961,"Injection, lenacapavir, 1 mg",,,FALSE,C5884064,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20230701,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1831,"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories",,,FALSE,C2958934,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20110101,0,D1E=Other DME,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3921,"Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment",,,FALSE,C1616846,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7352,"Afamelanotide implant, 1 mg",,,FALSE,C5439750,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7330-J7402,N=No maintenance for this code,20210101,0,O1E=Other drugs,C=Carrier judgment,20210101,,,A=Not applicable as HCPCS priced under one methodology,,20210101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5211,"Hearing aid, contralateral routing system, binaural, ite/ite",,,FALSE,C4722650,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20190101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8660,Residual score for the low back impairment successfully calculated and the score was less than zero (< 0),,,FALSE,C4746334,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L2265,"Addition to lower extremity, long tongue stirrup",,,FALSE,C0499575,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/P9035,"Platelets, pheresis, leukocytes reduced, each unit",,,FALSE,C0919115,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20010101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2455,,,,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/J2460,"Injection, oxytetracycline hcl, up to 50 mg",,,FALSE,C0498951,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6566,"Gradient compression garment, neck/head, each",,,FALSE,C5883908,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",,,FALSE,C1743170,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0669-K0746,N=No maintenance for this code,20061001,0,D1C=Oxygen and supplies,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,33=Oxygen and oxygen equipment (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0145,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision",,,FALSE,C0694945,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20030101,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,19990101,,630=Cytology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,"0045=SEE INTERMEDIARY MANUAL 3628.1A FOR PAYMENT INSTRUCTIONS. (P3000,P3001 G0123, G0124, G0141, G0143, G0144, G0145, G0147, G0148). PROGRAM MEMORANDUM AB-98-71.60.",,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/A4723,"Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc, for peritoneal dialysis",,,FALSE,C0993692,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1885,"Catheter, transluminal angioplasty, laser",,,FALSE,C0993788,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A7012,"Water collection device, used with large volume nebulizer",,,FALSE,C0499308,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20000101,0,D1E=Other DME,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0592,"Injection, buprenorphine hydrochloride, 0.1 mg",,,FALSE,C1145189,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20030101,0,O1E=Other drugs,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L1260,"Addition to tlso, (low profile), anterior thoracic derotation pad",,,FALSE,C0499475,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1200-L1290,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0300,"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes",,,FALSE,C4067422,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20151102,0,M5D=Specialist - other,C=Carrier judgment,20151102,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J9348,"Injection, naxitamab-gqgk, 1 mg",,,FALSE,C5574572,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20210701,0,O1D=Chemotherapy,C=Carrier judgment,20210701,,,A=Not applicable as HCPCS priced under one methodology,,20210701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4145,"Epifix, injectable, 1 mg",,,FALSE,C3710566,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Q4249,"Amniply, for topical use only, per square centimeter",,,FALSE,C5439792,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20201001,0,O1E=Other drugs,C=Carrier judgment,20201001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/M1153,Patient with diagnosis of osteoporosis on date of encounter,,,FALSE,C5771666,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E1195,"Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests",,,FALSE,C0498599,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1170-E1200,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0560,"Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery",,,FALSE,C0498463,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0550-E0585,N=No maintenance for this code,20050701,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,33=Oxygen and oxygen equipment (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3340,"Heel wedge, sach",,,FALSE,C0499693,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3340-L3420,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0349,"Injection, rezafungin, 1 mg",,,FALSE,C5884027,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20231001,0,O1E=Other drugs,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,20231001,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1310,"Whirlpool, non-portable (built-in type)",,,FALSE,C0498627,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1300-E1310,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H0027,Alcohol and/or drug prevention environmental service (broad range of external activities geared toward modifying systems in order to mainstream prevention through policy and law),,,FALSE,C0919063,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3221,"Orthopedic footwear, mens shoe, depth inlay, each",,,FALSE,C0499672,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,S=Non-covered by Medicare statute,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A8,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0770,"Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not otherwise specified",,,FALSE,C2368678,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20090101,0,D1E=Other DME,D=Special coverage instructions apply,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)","0152=NCD 100-3, 160.12.",,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0834,"Injection, cosyntropin, 0.25 mg",,,FALSE,C4746404,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0782,"Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.)",,,FALSE,C0498514,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0776-E0791,N=No maintenance for this code,20030101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-14,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8710,Patient prescribed antibiotic,,,FALSE,C3248455,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L6694,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism",,,FALSE,C1509062,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1190,"Injection, dexrazoxane hydrochloride, per 250 mg",,,FALSE,C0498843,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4029,"Cast supplies, long leg cast, adult (11 years +), plaster",,,FALSE,C0994024,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0117-G0124,Screening Services,,,FALSE,C5228953,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L0467,"Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf",,,FALSE,C3710478,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1650,"Injection, enoxaparin sodium, 10 mg",,,FALSE,C0498889,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20040101,0,O1E=Other drugs,C=Carrier judgment,19960101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0146,"Principal illness navigation - peer support, additional 30 minutes per calendar month (list separately in addition to g0140)",,,FALSE,C5884008,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20240101,0,M5D=Specialist - other,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4143,"Repriza, per square centimeter",,,FALSE,C3710565,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L1904,"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated",,,FALSE,C4316086,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1900-L1990,N=No maintenance for this code,20160101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0380,"Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)",,,FALSE,C1738016,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0378-G0384,N=No maintenance for this code,20080101,0,M3=Emergency room visit,C=Carrier judgment,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J7659,"Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",,,FALSE,C0520210,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4186,"Epifix, per square centimeter",,,FALSE,C4746482,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A0434,Specialty care transport (sct),,,FALSE,C0918299,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20010101,0,O1A=Ambulance,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,Temporary Procedures/Professional Services,,,FALSE,C0812980,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000323,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1299,Influenza immunization administered or previously received,,,FALSE,C5849195,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0293,"Hospital bed, variable height, hi-lo, without side rails, without mattress",,,FALSE,C0498428,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,20170101,0,D1B=Hospital beds,D=Special coverage instructions apply,19910101,60-18,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6445,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard",,,FALSE,C1314247,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6413-A6461,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P9059,"Fresh frozen plasma between 8-24 hours of collection, each unit",,,FALSE,C1314483,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20040101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,1833T,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/J1932,"Injection, lanreotide, (cipla), 1 mg",,,FALSE,C5771620,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20221001,0,O1E=Other drugs,C=Carrier judgment,20221001,,,A=Not applicable as HCPCS priced under one methodology,,20221001,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2196,Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method,,,FALSE,C5439709,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J2910,"Injection, aurothioglucose, up to 50 mg",,,FALSE,C0498985,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5272,"Assistive listening device, tdd",,,FALSE,C0994320,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5268-V5290,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0578,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy",,,FALSE,C5974220,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,20240401,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0339,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment",,,FALSE,C1508974,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20140101,0,P5E=Ambulatory procedures - other,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5400-L5460,Prosthetic Procedures - Lower Limb - Immediate Postsurgical or Early Fitting Procedures,,,FALSE,C0813074,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0518,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)",,,FALSE,C4542710,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0516-G0518,N=No maintenance for this code,20180101,0,P6C=Minor procedures - other (Medicare fee schedule),C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2215,Take-home supply of nasal naloxone; 2-pack of 4mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure,,,FALSE,C5439727,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0555,"Provision of replacement patient electronics system (e.g., system pillow, handheld reader) for home pulmonary artery pressure monitoring",,,FALSE,C5974188,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/H0015,"Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education",,,FALSE,C0919051,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C7545,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or gallbladder, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, including diagnostic cholangiography(ies) when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation",,,FALSE,C5771558,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P1G=Major procedure - other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1744,"Injection, icatibant, 1 mg",,,FALSE,C3534680,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20130101,0,O1E=Other drugs,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,20130101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0637,"Injection, caspofungin acetate, 5 mg",,,FALSE,C1145191,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2040-L2090,Torsion Control: Hip-Knee-Ankle-Foot Orthotics,,,FALSE,C2092438,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1600-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9052,"Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg",,,FALSE,C5884088,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20240101,,,A=Not applicable as HCPCS priced under one methodology,2049,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K0019,"Arm pad, replacement only, each",,,FALSE,C0499180,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20U0000-U0002,U Codes - Coronavirus Diagnostic Panel,,,FALSE,C5439622,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/MTHU000323,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/L5712,"Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)",,,FALSE,C0499941,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5710-L5780,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2299,Specialty bifocal (by report),,,FALSE,C0500356,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G8419,"Bmi documented outside normal parameters, no follow-up plan documented, no reason given",,,FALSE,C1971261,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20140101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J2508,"Injection, pegunigalsidase alfa-iwxj, 1 mg",,,FALSE,C5876545,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2617-C2631,Cardiovascular and Genitourinary Device,,,FALSE,C4542557,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20C1000-C9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8912,"Patient documented to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event",,,FALSE,C3534789,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120401,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L5636,"Addition to lower extremity, symes type, medial opening socket",,,FALSE,C0499881,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9303,"Injection, panitumumab, 10 mg",,,FALSE,C1740781,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20080101,0,O1D=Chemotherapy,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6521,"Gradient compression garment, glove, padded, for nighttime use, custom, each",,,FALSE,C5883884,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1715,Brachytherapy needle,,,FALSE,C0993726,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1052-C1715,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0914,Patient care survey was not completed by patient,,,FALSE,C3248429,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0913-G0918,N=No maintenance for this code,20120101,0,M5D=Specialist - other,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L5617,"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each",,,FALSE,C0499869,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5610-L5617,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19960101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9215,"Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu",,,FALSE,C0499138,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19930101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,G=Immunosuppressive drugs,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0604,"Breast pump, hospital grade, electric (ac and / or dc), any type",,,FALSE,C0993860,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0602-E0604,N=No maintenance for this code,20080101,0,Z2=Undefined codes,C=Carrier judgment,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0893,"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg",,,FALSE,C5771611,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0669,"Segmental pneumatic appliance for use with pneumatic compressor, half leg",,,FALSE,C0498492,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0650-E0677,N=No maintenance for this code,19940101,0,D1E=Other DME,D=Special coverage instructions apply,19940101,60-16,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S8424,"Gradient pressure aid (sleeve), ready made",,,FALSE,C0994184,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1554,"Injection, immune globulin (asceniv), 500 mg",,,FALSE,C5551234,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20210401,0,O1E=Other drugs,C=Carrier judgment,20210401,,,A=Not applicable as HCPCS priced under one methodology,,20210401,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0221,Infrared heating pad system,,,FALSE,C0993853,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0200-E0239,N=No maintenance for this code,20070101,0,D1E=Other DME,C=Carrier judgment,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S1015,Iv tubing extension set,,,FALSE,C0919169,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4004,"Cast supplies, shoulder cast, adult (11 years +), fiberglass",,,FALSE,C0993999,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9089,"Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)",,,FALSE,C1619387,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0525,"Management of established patient-caregiver dyad with dementia, moderate complexity, for use in cmmi model",,,FALSE,C5974158,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0519-G0531,N=No maintenance for this code,20240701,0,Z2=Undefined codes,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L7180,"Electronic elbow, microprocessor sequential control of elbow and terminal device",,,FALSE,C0500131,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7170-L7191,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4638,"Replacement battery for patient-owned ear pulse generator, each",,,FALSE,C1314237,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4630-A4640,N=No maintenance for this code,20040101,0,D1E=Other DME,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1821,Replacement soft interface material/cuffs for bi-directional static progressive stretch device,,,FALSE,C0993875,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20020101,0,D1E=Other DME,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4602,"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each",,,FALSE,C3871239,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20150101,0,D1E=Other DME,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1322,"Injection, elosulfase alfa, 1 mg",,,FALSE,C3871245,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20150101,0,O1E=Other drugs,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,20150101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1626,"Injection, granisetron hydrochloride, 100 mcg",,,FALSE,C0520144,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20090101,0,O1E=Other drugs,D=Special coverage instructions apply,19980101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1407,Patients who died during the follow-up period,,,FALSE,C5974354,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q0486,"Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only",,,FALSE,C1618385,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9532,"Iodine i-125 serum albumin, diagnostic, per 5 microcuries",,,FALSE,C1314274,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L2370,"Addition to lower extremity, patten bottom",,,FALSE,C0499587,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q5117,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",,,FALSE,C5229220,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,20191001,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9504,"Documented reason for not assessing hepatitis b virus (hbv) status (e.g., patient not initiating anti-tnf therapy, patient declined) prior to initiating anti-tnf therapy",,,FALSE,C4542716,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0720,"Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation",,,FALSE,C0498498,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20070101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,35-46|35-20,,A=Not applicable as HCPCS priced under one methodology,4107.6,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0613,Annual gynecological examination; clinical breast examination without pelvic evaluation,,,FALSE,C1617878,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0601-S0622,N=No maintenance for this code,20050701,0,Z2=Undefined codes,I=Not payable by Medicare,20050701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9297,"Shared decision-making including discussion of conservative (non-surgical) therapy (e.g., nsaids, analgesics, weight loss, exercise, injections) prior to the procedure, not documented, reason not given",,,FALSE,C3710398,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E1092,"Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests",,,FALSE,C0498586,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1092-E1093,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6350,"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm",,,FALSE,C0500006,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6350-L6370,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19840101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0289,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee",,,FALSE,C1145157,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20030101,0,P8A=Endoscopy - arthroscopy,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9024,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs",,,FALSE,C5979737,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,A=Add procedure or modifier code,20250401,0,O1D=Chemotherapy,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2180,Clinician documented that patient was not an eligible candidate for evaluation of footwear as patient is bilateral lower extremity amputee,,,FALSE,C5439694,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/B5100,"Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, hepatic, hepatamine-premix",,,FALSE,C4067395,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4164-B5200,N=No maintenance for this code,20160101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19880101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/J1364,"Injection, erythromycin lactobionate, per 500 mg",,,FALSE,C0498857,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230101,0,O1E=Other drugs,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2049,20230101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7297,"Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg",,,FALSE,C4067608,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7294-J7307,N=No maintenance for this code,20170101,0,P6C=Minor procedures - other (Medicare fee schedule),S=Non-covered by Medicare statute,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862(a)(1),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1235,"Wheelchair, pediatric size, rigid, adjustable, with seating system",,,FALSE,C1145115,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1229-E1239,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,D=Special coverage instructions apply,20030101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4625,Tracheostomy care kit for new tracheostomy,,,FALSE,C0497884,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4611-A4629,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S3601,Emergency stat laboratory charge for patient who is homebound or residing in a nursing facility,,,FALSE,C0994122,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/G0183,"Quantitative software measurements of cardiac volume, cardiac chambers volumes and left ventricular wall mass derived from ct scan(s) data of the chest/heart (with or without contrast)",,,FALSE,C5979722,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,A=Add procedure or modifier code,20250401,0,I4B=Imaging/procedure - other,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A9150,Non-prescription drugs,,,FALSE,C0013231,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,19960101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2050.5,,,,57=Other carrier priced,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/C8902,"Magnetic resonance angiography without contrast followed by with contrast, abdomen",,,FALSE,C0993821,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8900-C8920,N=No maintenance for this code,20011001,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20011001,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S3850,Genetic testing for sickle cell anemia,,,FALSE,C1314546,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S3800-S3870,N=No maintenance for this code,20030701,0,Z2=Undefined codes,I=Not payable by Medicare,20030701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/G8663,Residual score for the shoulder impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0),,,FALSE,C4746337,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4103,"Oasis burn matrix, per square centimeter",,,FALSE,C2959305,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/S2055,"Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor",,,FALSE,C0812809,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0245,Tub stool or bench,,,FALSE,C0498409,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0240-E0248,N=No maintenance for this code,19960101,0,D1E=Other DME,M=Non-covered by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3430-L3485,Shoe Heels,,,FALSE,C5228970,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3000-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S5501,"Home infusion therapy, catheter care / maintenance, complex (more than one lumen), includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994154,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5497-S5523,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1820,"Generator, neurostimulator (implantable), with rechargeable battery and charging system",,,FALSE,C4067397,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20060101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0409,"Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by a corf-qualified social worker or psychologist in a corf)",,,FALSE,C2368409,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0409-G0411,N=No maintenance for this code,20090101,0,M5D=Specialist - other,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2761,"Mirror coating, any type, solid, gradient or equal, any lens material, per lens",,,FALSE,C1314656,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,2130.B,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G8709,"Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne)",,,FALSE,C4746346,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20210101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q0507,Miscellaneous supply or accessory for use with an external ventricular assist device,,,FALSE,C3710549,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130401,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20130401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",,,FALSE,C4067416,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20160101,0,D1E=Other DME,D=Special coverage instructions apply,20160101,,,A=Not applicable as HCPCS priced under one methodology,60-9,,,,31=Frequently serviced DME (price subject to floors and ceilings),"0137=PUBLICATION 100-03, CHAPTER 1, SECTION 280.1 (100.03, 1, 280.1).",,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0691,"Injection, lefamulin, 1 mg",,,FALSE,C5439733,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6523,"Gradient compression garment, arm, padded, for nighttime use, custom, each",,,FALSE,C5883886,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0621-L0624,Sacroilliac Orthotics,,,FALSE,C5228958,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L0100-L4999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/STY/T081,Quantitative Concept,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T078,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T089,Regulation or Law,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T170,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T083,Geographic Area,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T082,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T086,Nucleotide Sequence,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T085,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T082,Spatial Concept,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T078,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T088,Carbohydrate Sequence,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T085,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T080,Qualitative Concept,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T078,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T085,Molecular Sequence,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T082,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T087,Amino Acid Sequence,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T085,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/HCPCS/S9353,"Home infusion therapy, continuous insulin infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994230,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0012,"Injection of pre-exposure prophylaxis (prep) drug for hiv prevention, under skin or into muscle",,,FALSE,C5883997,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0008-G0013,N=No maintenance for this code,20240102,0,P5E=Ambulatory procedures - other,C=Carrier judgment,20240102,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/CA,Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission,,,FALSE,C1314198,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20030101,,,C=Carrier judgment,20030101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/CR,Catastrophe/disaster related,,,FALSE,C1619353,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20050821,,,C=Carrier judgment,20050821,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/CN,"100 percent impaired, limited or restricted",,,FALSE,C3534823,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20130101,,,D=Special coverage instructions apply,20130101,,,,,,,,,"0180=2013 PFS; PUB 100-04, 5-10, 12.027I.",,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/CM,"At least 80 percent but less than 100 percent impaired, limited or restricted",,,FALSE,C3534824,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20130101,,,D=Special coverage instructions apply,20130101,,,,,,,,,"0180=2013 PFS; PUB 100-04, 5-10, 12.027I.",,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/CF,Amcc test has been ordered by an esrd facility or mcp physician that is not part of the composite rate and is separately billable,,,FALSE,C1508828,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20040101,,,D=Special coverage instructions apply,20040101,,,,4270.2,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/CG,Policy criteria applied,,,FALSE,C2368521,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20080701,,,C=Carrier judgment,20080701,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/CS,Cost-sharing waived for specified covid-19 testing-related services that result in and order for or administration of a covid-19 test and/or used for cost-sharing waived preventive services furnished via telehealth in rural health clinics and federally qualified health centers during the covid-19 public health emergency,,,FALSE,C5439623,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20200301,,,C=Carrier judgment,20110101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/CQ,Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant,,,FALSE,C4746269,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20190101,,,C=Carrier judgment,20190101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/CI,"At least 1 percent but less than 20 percent impaired, limited or restricted",,,FALSE,C3534828,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20130101,,,D=Special coverage instructions apply,20130101,,,,,,,,,"0180=2013 PFS; PUB 100-04, 5-10, 12.027I.",,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/CO,Outpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant,,,FALSE,C4746268,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20190101,,,C=Carrier judgment,20190101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/CT,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,,,FALSE,C4067390,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20160101,,,C=Carrier judgment,20160101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/CJ,"At least 20 percent but less than 40 percent impaired, limited or restricted",,,FALSE,C3534827,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20130101,,,D=Special coverage instructions apply,20130101,,,,,,,,,"0180=2013 PFS; PUB 100-04, 5-10, 12.027I.",,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/CK,"At least 40 percent but less than 60 percent impaired, limited or restricted",,,FALSE,C3534826,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20130101,,,D=Special coverage instructions apply,20130101,,,,,,,,,"0180=2013 PFS; PUB 100-04, 5-10, 12.027I.",,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/CH,"0 percent impaired, limited or restricted",,,FALSE,C3534829,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20130101,,,D=Special coverage instructions apply,20130101,,,,,,,,,"0180=2013 PFS; PUB 100-04, 5-10, 12.027I.",,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/CL,"At least 60 percent but less than 80 percent impaired, limited or restricted",,,FALSE,C3534825,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20130101,,,D=Special coverage instructions apply,20130101,,,,,,,,,"0180=2013 PFS; PUB 100-04, 5-10, 12.027I.",,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/CC,Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed),,,FALSE,C0497605,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19900101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/CE,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,,,FALSE,C1508827,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20040101,,,D=Special coverage instructions apply,20040101,,,,4270.2,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/CB,"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",,,FALSE,C1314199,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20040101,,,C=Carrier judgment,20030401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/CD,Amcc test has been ordered by an esrd facility or mcp physician that is part of the composite rate and is not separately billable,,,FALSE,C1508826,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20040101,,,D=Special coverage instructions apply,20040101,,,,4270.2,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C2636,"Brachytherapy linear source, non-stranded, palladium-103, per 1 mm",,,FALSE,C1616805,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2634-C2699,N=No maintenance for this code,20070701,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20050101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(T),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4248,"Dermacyte amniotic membrane allograft, per square centimeter",,,FALSE,C5439791,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L5722,"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control",,,FALSE,C0499945,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5710-L5780,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6023,"Collagen dressing, sterile, size more than 48 sq. in., each",,,FALSE,C0918318,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20130101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1018,"Patients with an active diagnosis or history of cancer (except basal cell and squamous cell skin carcinoma), patients who are heavy tobacco smokers, lung cancer screening patients",,,FALSE,C4746440,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/S3840,Dna analysis for germline mutations of the ret proto-oncogene for susceptibility to multiple endocrine neoplasia type 2,,,FALSE,C1314536,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S3800-S3870,N=No maintenance for this code,20030701,0,Z2=Undefined codes,I=Not payable by Medicare,20030701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/J0604,"Cinacalcet, oral, 1 mg, (for esrd on dialysis)",,,FALSE,C4541026,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0195=PUB. 100-4, CH.4, SEC 240.",,1=Medical care|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5960,"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)",,,FALSE,C0499974,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0371,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width",,,FALSE,C0520108,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19980101,0,D1E=Other DME,C=Carrier judgment,19980101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4198,"Genesis amniotic membrane, per square centimeter",,,FALSE,C4722649,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G8510,"Screening for depression is documented as negative, a follow-up plan is not required",,,FALSE,C2368445,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20170101,0,M5D=Specialist - other,C=Carrier judgment,20090101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0444,"Annual depression screening, 5 to 15 minutes",,,FALSE,C3248415,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0438-G0451,N=No maintenance for this code,20230101,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20111014,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J1320,"Injection, amitriptyline hcl, up to 20 mg",,,FALSE,C0498851,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6506,"Compression burn garment, glove to axilla, custom fabricated",,,FALSE,C1144976,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0992,"Manual wheelchair accessory, solid seat insert",,,FALSE,C0498562,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0217,"Injection, velmanase alfa-tycv, 1 mg",,,FALSE,C5884025,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L2670,"Addition to lower extremity, thoracic control, paraspinal uprights",,,FALSE,C0499621,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2570-L2680,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S3630,"Eosinophil count, blood, direct",,,FALSE,C0994123,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/A4420,"Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each",,,FALSE,C1314224,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4708,"Acetate concentrate solution, for hemodialysis, per gallon",,,FALSE,C0993684,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G4022,Otolaryngology mips specialty set,,,FALSE,C5574525,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L0624,"Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels placed over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated",,,FALSE,C1509036,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0621-L0624,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4130,"Strattice tm, per square centimeter",,,FALSE,C3248675,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20120101,0,O1E=Other drugs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/M1279,"Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given",,,FALSE,C5849233,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4268,"Contraceptive supply, condom, female, each",,,FALSE,C0221829,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8001,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type",,,FALSE,C0993985,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8000-L8039,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20020101,,,A=Not applicable as HCPCS priced under one methodology,2130A,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S5502,"Home infusion therapy, catheter care / maintenance, implanted access device, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (use this code for interim maintenance of vascular access not currently in use)",,,FALSE,C0994155,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5497-S5523,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0121,"Injection, omadacycline, 1 mg",,,FALSE,C5229014,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,20191001,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4238,"Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",,,FALSE,C5771503,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20230101,0,D1E=Other DME,C=Carrier judgment,20220401,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4026,"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass",,,FALSE,C0994021,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2305,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens",,,FALSE,C0500362,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K0808,"Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds",,,FALSE,C1737755,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0384,"Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)",,,FALSE,C1742209,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0378-G0384,N=No maintenance for this code,20080101,0,M3=Emergency room visit,C=Carrier judgment,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5683,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)",,,FALSE,C1314471,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0513-G0514,Prolonged Preventive Services,,,FALSE,C4542600,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1259,Patient status documented within the first year of initiating dialysis,,,FALSE,C5974311,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/P9053,"Platelets, pheresis, leukocytes reduced, cmv-negative, irradiated, each unit",,,FALSE,C1145012,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20040101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,1833T,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/C7565,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s) less than 3 cm, reducible with removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair",,,FALSE,C5974101,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20250101,0,P1G=Major procedure - other,D=Special coverage instructions apply,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,20250101,,YY,99=Value not established,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L0972,"Lso, corset front",,,FALSE,C0499447,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0970-L0999,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2724,"Injection, protein c concentrate, intravenous, human, 10 iu",,,FALSE,C1971342,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20090101,0,O1E=Other drugs,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9213,"Injection, interferon, alfa-2a, recombinant, 3 million units",,,FALSE,C0499136,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19930101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,G=Immunosuppressive drugs,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0304,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services",,,FALSE,C1314378,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20040101,0,T2D=Other tests - other,C=Carrier judgment,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C9785,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components",,,FALSE,C5883981,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20230701,0,P1G=Major procedure - other,D=Special coverage instructions apply,20230701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9919,Screening performed and positive and provision of recommendations,,,FALSE,C4542749,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,F=Change in administrative data field of procedure or modifier code,20250101,0,Z2=Undefined codes,I=Not payable by Medicare,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9874,Four total medicare diabetes prevention program (mdpp) core sessions were attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an mdpp supplier during months 1 through 6 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for core sessions,,,FALSE,C4746387,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180401,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20180401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L1300,"Other scoliosis procedure, body jacket molded to patient model",,,FALSE,C0499479,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1300-L1499,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0060,Allergy/immunology mips specialty set,,,FALSE,C5574485,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G4034,Speech language pathology mips specialty set,,,FALSE,C5574537,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1123,"Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record",,,FALSE,C5203709,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/P7001,"Culture, bacterial, urine; quantitative, sensitivity study",,,FALSE,C0500237,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P7001-P7001,N=No maintenance for this code,19960101,0,T1H=Lab test - other (Non-Medicare fee schedule),I=Not payable by Medicare,19860101,,110=Bacteriology,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,5=Diagnostic laboratory,CPT,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/L0820,"Halo procedure, cervical halo incorporated into plaster body jacket",,,FALSE,C0499436,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0810-L0861,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2310,"Addition to lower extremity, abduction bar-straight",,,FALSE,C0499580,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1215,"Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g., patients with dementia or tracheostomy)",,,FALSE,C5884122,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E1170,"Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests",,,FALSE,C0498594,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1170-E1200,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9364,"Home infusion therapy, total parenteral nutrition (tpn); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem (do not use with home infusion codes s9365-s9368 using daily volume scales)",,,FALSE,C0994236,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1568,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",,,FALSE,C1971337,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20080101,0,O1E=Other drugs,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1130,"Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)",,,FALSE,C5203712,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0745,"Neuromuscular stimulator, electronic shock unit",,,FALSE,C0498503,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,35-77,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9289,Non small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanation,,,FALSE,C5551240,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L0150,"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece)",,,FALSE,C0499394,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0112-L0174,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4341,"Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each",,,FALSE,C5439763,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,20230401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0835,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds",,,FALSE,C1743173,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9074,"Injection, cyclophosphamide (sandoz), 5 mg",,,FALSE,C5974285,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240401,0,O1D=Chemotherapy,D=Special coverage instructions apply,20240401,,,A=Not applicable as HCPCS priced under one methodology,2049,20240401,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6940,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device",,,FALSE,C0500112,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6920-L6975,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6590,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, direct formed",,,FALSE,C0500024,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6580-L6590,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1325,"Patients who were not seen for reasons documented by clinician for patient or medical reasons (e.g., inadequate time for follow-up, patients who received a prior intravitreal or periocular steroid injection within the last six (6) months and had a subsequent iop evaluation with iop <25mm hg within seven (7) weeks of treatment)",,,FALSE,C5884190,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J8705,"Topotecan, oral, 0.25 mg",,,FALSE,C2368489,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,N=No maintenance for this code,20240101,0,O1D=Chemotherapy,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9676,Patients aged 40 to 75 years at the beginning of the measurement period with type 1 or type 2 diabetes and with an ldl-c result of 70-189 mg/dl recorded as the highest fasting or direct laboratory test result in the measurement year or during the two years prior to the beginning of the measurement period,,,FALSE,C4067591,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q0506,"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only",,,FALSE,C2729365,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20100101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9272,"Wound suction, disposable, includes dressing, all accessories and components, any type, each",,,FALSE,C3710267,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20240101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0232=DIVISION FF, SECTION 4136 OF THE CONSOLIDATED APPROPRIATIONS ACT, 2023.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9030,"Bcg live intravesical instillation, 1 mg",,,FALSE,C5229170,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20190701,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S9123,"Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)",,,FALSE,C0812847,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20040101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",,,FALSE,C0497943,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5051-A5093,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19900101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9309,"Injection, polatuzumab vedotin-piiq, 1 mg",,,FALSE,C5229176,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20200101,0,O1D=Chemotherapy,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,20200101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9411,"Patient not admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision",,,FALSE,C5551247,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4033,"Cast supplies, long leg cylinder cast, adult (11 years +), plaster",,,FALSE,C0994028,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0812,"Power operated vehicle, not otherwise classified",,,FALSE,C1738565,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9996,Documentation stating the patient has received or is currently receiving palliative or hospice care,,,FALSE,C5574548,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K0802,"Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds",,,FALSE,C1739987,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6704,"Terminal device, sport/recreational/work attachment, any material, any size",,,FALSE,C1739996,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6700-L6882,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0764,"Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completion of training program",,,FALSE,C1314433,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20140401,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20060101,35-77,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0036,Patient or care partner decline assessment,,,FALSE,C5574462,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4542,Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist,,,FALSE,C5771649,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20240101,0,D1E=Other DME,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",,,FALSE,C0498481,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0621-E0642,N=No maintenance for this code,20080101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4600,"Sleeve for intermittent limb compression device, replacement only, each",,,FALSE,C1740510,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20070101,0,D1E=Other DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A7508,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each",,,FALSE,C0918333,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7501-A7527,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1020,"Residual limb support system for wheelchair, any type",,,FALSE,C1145104,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20160701,0,D1D=Wheelchairs,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,60-6,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5620,"Addition to lower extremity, test socket, below knee",,,FALSE,C0499871,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5618-L5628,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V5275,"Ear impression, each",,,FALSE,C0994323,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5268-V5290,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1383,Acute pvd,,,FALSE,C5974331,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L2385,"Addition to lower extremity, straight knee joint, heavy duty, each joint",,,FALSE,C0499590,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/K0014,Other motorized/power wheelchair base,,,FALSE,C0499175,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20010101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0070,"Professional services for the administration of intravenous chemotherapy or other intravenous highly complex drug or biological infusion for each infusion drug administration calendar day in the individual's home, each 15 minutes",,,FALSE,C4746305,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0068-G0090,N=No maintenance for this code,20210101,0,M4A=Home visit,D=Special coverage instructions apply,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,"0223=THESE G CODES ARE ASSOCIATED WITH A NEW PART B BENEFIT CATEGORY ESTABLISHED BY THE FOLLOWING SECTIONS IN THE SOCIAL SECURITY ACT: 1861(s)(2)(GG), 1861(iii), 1834(u).",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7610,"Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg",,,FALSE,C1737752,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9080,"Oncology; disease status; prostate cancer, limited to adenocarcinoma; after initial treatment with rising psa or failure of psa decline (for use in a medicare-approved demonstration project)",,,FALSE,C1616323,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M0004,Quality care for patients with neurological conditions mips value pathway,,,FALSE,C5974305,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A6590,"External urinary catheters; disposable, with wicking material, for use with suction pump, per month",,,FALSE,C5883931,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6590-A6591,N=No maintenance for this code,20230401,0,D1E=Other DME,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6616,"Upper extremity addition, additional disconnect insert for locking wrist unit, each",,,FALSE,C0500029,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9313,"Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis for documented reason",,,FALSE,C3710413,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710524,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3806-L3904,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1766,"Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away",,,FALSE,C0993757,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A0425,"Ground mileage, per statute mile",,,FALSE,C0918290,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20010101,0,O1A=Ambulance,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,,D=Ambulance (eff 04/95),,http://purl.bioontology.org/ontology/HCPCS/A0390|http://purl.bioontology.org/ontology/HCPCS/A0380,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/M1409,Patients who received germline testing for brca1 and brca2 or genetic counseling completed within 6 months of diagnosis,,,FALSE,C5974356,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4612,Battery cables; replacement for patient-owned ventilator,,,FALSE,C0497875,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4611-A4629,N=No maintenance for this code,20140101,0,D1E=Other DME,S=Non-covered by Medicare statute,19900101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1834a3A,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2327,"Injection, risankizumab-rzaa, intravenous, 1 mg",,,FALSE,C5771736,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230101,0,O1E=Other drugs,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1335,"Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up)",,,FALSE,C5849243,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",,,FALSE,C3710544,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4350-L4631,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7622,"Beclomethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram",,,FALSE,C0993956,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9281,Screening performed and documentation that vaccination not indicated/patient refusal,,,FALSE,C3710385,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L5984,"All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability",,,FALSE,C0499987,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3214,"Benesch boot, pair, junior",,,FALSE,C0499666,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2079,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A9999,"Miscellaneous dme supply or accessory, not otherwise specified",,,FALSE,C1314277,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9900-A9999,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9285,Specimen site other than anatomic location of lung or is not classified as non small cell lung cancer,,,FALSE,C3710388,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/H0041,"Foster care, child, non-therapeutic, per diem",,,FALSE,C1145174,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1364,Calculated 10-year ascvd risk score of >= 20 percent during the performance period,,,FALSE,C5884223,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0412-G0415,Fracture Treatment,,,FALSE,C0919720,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T2024,"Service assessment/plan of care development, waiver",,,FALSE,C1314624,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0455,"Oxygen tent, excluding croup or pediatric tents",,,FALSE,C0498455,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,19900101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19860101,60-4,,A=Not applicable as HCPCS priced under one methodology,4107.9,,,,33=Oxygen and oxygen equipment (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9645,Patients who did not abstain from smoking prior to anesthesia on the day of surgery or procedure,,,FALSE,C4067563,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J1299,"Injection, eculizumab, 2 mg",,,FALSE,C5979728,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9891,Mdpp session reported as a line-item on a claim for a payable mdpp expanded model (em) hcpcs code for a session furnished by the billing supplier under the mdpp expanded model and counting toward achievement of the attendance performance goal for the payable mdpp expanded model hcpcs code (this code is for reporting purposes only),,,FALSE,C4746400,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180401,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20180401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A0140,Non-emergency transportation and air travel (private or commercial) intra or inter state,,,FALSE,C0497719,http://purl.bioontology.org/ontology/STY/T057,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,19960910,0,O1A=Ambulance,I=Not payable by Medicare,19850101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T057
http://purl.bioontology.org/ontology/HCPCS/A6245,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",,,FALSE,C0520054,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2220,"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint",,,FALSE,C0499570,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C7537,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (e.g., for upgrade to dual chamber system)",,,FALSE,C5771550,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P2E=Major procedure - cardiovascular - Pacemaker insertion,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6884,"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power",,,FALSE,C1616848,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6883-L6885,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0629,"Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, custom fabricated",,,FALSE,C1509041,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0628-L0640,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9465,"Diabetic management program, dietitian visit",,,FALSE,C0812858,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5781,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system",,,FALSE,C1145283,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5781-L5783,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9885,"Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 22-24 under the mdpp expanded model (em). an ongoing maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 13 through 24 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary maintained at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at an ongoing maintenance session in months 22-24",,,FALSE,C4746398,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180401,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20180401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S5550,"Insulin, rapid onset, 5 units",,,FALSE,C1314585,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5550-S5571,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0605,"Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis)",,,FALSE,C5974224,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S5565,Insulin cartridge for use in insulin delivery device other than pump; 150 units,,,FALSE,C1314591,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5550-S5571,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7681,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram",,,FALSE,C0520214,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0109,"Methadone, oral, 5 mg",,,FALSE,C1616857,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20041001,0,Z2=Undefined codes,I=Not payable by Medicare,20041001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0551,"Interprofessional telephone/internet/electronic health record referral service(s) provided by a treating/requesting practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, 30 minutes",,,FALSE,C5974184,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9848,Patient did not receive systemic cancer-directed therapy in the last 14 days of life,,,FALSE,C4316115,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J1302,"Injection, sutimlimab-jome, 10 mg",,,FALSE,C5771735,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20221001,0,O1E=Other drugs,C=Carrier judgment,20221001,,,A=Not applicable as HCPCS priced under one methodology,,20221001,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0691-E0694,Ultraviolet Light Therapy Systems,,,FALSE,C4542572,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P9055,"Platelets, leukocytes reduced, cmv-negative, apheresis/pheresis, each unit",,,FALSE,C1314481,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20040101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,1833T,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/E0486,"Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment",,,FALSE,C1619362,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20060101,0,D1E=Other DME,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4008,"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass",,,FALSE,C0994003,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9302,"Injection, ofatumumab, 10 mg",,,FALSE,C2959278,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20110101,0,O1D=Chemotherapy,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,20110101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1019,Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5,,,FALSE,C4746441,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/M1387,Patients who died during the performance period,,,FALSE,C5974335,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S9377,"Home infusion therapy, hydration therapy; more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies (drugs and nursing visits coded separately), per diem",,,FALSE,C0994247,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1724,"Catheter, transluminal atherectomy, rotational",,,FALSE,C0993735,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1655,"Injection, tinzaparin sodium, 1000 iu",,,FALSE,C0993942,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20020701,0,O1E=Other drugs,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1890,No implantable/insertable device used with device-intensive procedures,,,FALSE,C4746284,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20190101,0,D1E=Other DME,D=Special coverage instructions apply,20190101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,53=Statute,,1833(t),F=Ambulatory surgical center (facility usage for surgical services)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S0207,"Paramedic intercept, non-hospital-based als service (non-voluntary), non-transport",,,FALSE,C1314503,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20021001,0,Z2=Undefined codes,I=Not payable by Medicare,20021001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G2113,"Patient receiving >5 mg daily prednisone (or equivalent) for longer than 6 months, and improvement or no change in disease activity",,,FALSE,C5229088,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L5658,"Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal)",,,FALSE,C0499901,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L7400,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal)",,,FALSE,C1619402,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7400-L7406,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0001,Standard wheelchair,,,FALSE,C0499162,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,19940101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,http://purl.bioontology.org/ontology/HCPCS/E1130|http://purl.bioontology.org/ontology/HCPCS/E1140,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0129,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",,,FALSE,C1741942,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20120101,0,O1E=Other drugs,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4423,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each",,,FALSE,C1314225,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9148-G9153,Quality Assurance,,,FALSE,C0178932,http://purl.bioontology.org/ontology/STY/T057,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T057
http://purl.bioontology.org/ontology/HCPCS/G9940,"Documentation of medical reason(s) for not on a statin (e.g., pregnancy, in vitro fertilization, clomiphene rx, esrd, cirrhosis, muscular pain and disease during the measurement period or prior year)",,,FALSE,C4521331,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1394,Stages i-iii breast cancer,,,FALSE,C5974341,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0420,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour",,,FALSE,C2729178,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0420-G0421,N=No maintenance for this code,20100101,0,M1B=Office visits - established,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20C1000-C9999,C Codes - CMS Hospital Outpatient System,,,FALSE,C1971539,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/MTHU000323,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/S4031,Sperm procurement and cryopreservation services; subsequent visit,,,FALSE,C0994144,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S4005-S4989,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G2210,"Residual score for the neck impairment not measured because the patient did not complete the neck fs prom at initial evaluation and/or near discharge, reason not given",,,FALSE,C5439722,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L5630,"Addition to lower extremity, symes type, expandable wall socket",,,FALSE,C0499877,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A9286,"Hygienic item or device, disposable or non-disposable, any type, each",,,FALSE,C4316285,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20170101,0,D1A=Medical/surgical supplies,S=Non-covered by Medicare statute,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0209=NCD MANUAL 280.0.,1834,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",,,FALSE,C3710513,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1900-L1990,N=No maintenance for this code,20170101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1970,"Ankle foot orthosis, plastic with ankle joint, custom fabricated",,,FALSE,C0499530,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1900-L1990,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2680,"Injection, fluphenazine decanoate, up to 25 mg",,,FALSE,C0498971,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9063,"Oncology; disease status; limited to non-small cell lung cancer; extent of disease initially established as stage i (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1616830,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4220,"Bellacell hd or surederm, per square centimeter",,,FALSE,C5229211,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E0911,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar",,,FALSE,C1617883,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,20060101,0,D1B=Hospital beds,D=Special coverage instructions apply,20060101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J3030,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",,,FALSE,C0498997,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20000101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1119,"Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery",,,FALSE,C5203751,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V2202,"Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens",,,FALSE,C0500337,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E1221,"Wheelchair with fixed arm, footrests",,,FALSE,C0498606,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1220-E1228,N=No maintenance for this code,19900101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-6,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9699,"Radiopharmaceutical, therapeutic, not otherwise classified",,,FALSE,C1145010,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4363,"Amnio burgeon membrane and hydromembrane, per square centimeter",,,FALSE,C5979766,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L7360,"Six volt battery, each",,,FALSE,C0500141,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7360-L7368,N=No maintenance for this code,20080101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7638,"Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram",,,FALSE,C0520202,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0223,"Injection, givosiran, 0.5 mg",,,FALSE,C5434246,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20200701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5363,Language screening,,,FALSE,C0500455,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5362-V5364,N=No maintenance for this code,20040101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19900101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862(a)(7),W=Physical therapy|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/S9441,"Asthma education, non-physician provider, per session",,,FALSE,C0994250,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8400-L8485,Prosthetic Procedures - Prosthetic Socks,,,FALSE,C3871229,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L7700-L8499,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0287,"Injection, amphotericin b lipid complex, 10 mg",,,FALSE,C1145186,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20030101,0,O1E=Other drugs,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6606,"Gradient compression bandaging supply, padded textile, per linear yard, any width, each",,,FALSE,C5883946,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6593-A6611,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0710,"Injection, cephapirin sodium, up to 1 gm",,,FALSE,C0498801,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0323,"Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month. (these services include the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales; behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes; facilitating and coordinating treatment such as psychotherapy, coordination with and/or referral to physicians and practitioners who are authorized by medicare to prescribe medications and furnish e/m services, counseling and/or psychiatric consultation; and continuity of care with a designated member of the care team)",,,FALSE,C5771592,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L8642,Hallux implant,,,FALSE,C0500208,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8630-L8659,N=No maintenance for this code,19971001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19920101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",Q0073,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8753,Most recent systolic blood pressure >= 140 mmhg,,,FALSE,C2729231,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9700,Patients who use hospice services any time during the measurement period,,,FALSE,C4283832,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E1615,"Deionizer water purification system, for hemodialysis",,,FALSE,C0936069,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,55-1A,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2267,"Injection, mirikizumab-mrkz, 1 mg",,,FALSE,C5974108,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,20240701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",,,FALSE,C0520043,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4322,"Caregraft, per square centimeter",,,FALSE,C5974399,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",,,FALSE,C0520075,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20060101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95)|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9053,Oncology; primary focus of visit; expectant management of patient with evidence of cancer for whom no cancer directed therapy is being administered or arranged at present; cancer directed therapy might be considered in the future (for use in a medicare-approved demonstration project),,,FALSE,C1617848,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1190,Documentation of a kidney health evaluation was not performed or defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr),,,FALSE,C5771696,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q0480,"Driver for use with pneumatic ventricular assist device, replacement only",,,FALSE,C1617359,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9117,"Oncology; disease status; ovarian cancer, limited to epithelial cancer; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)",,,FALSE,C1617856,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q5144,"Injection, adalimumab-aacf (idacio), biosimilar, 1 mg",,,FALSE,C5974442,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7304,"Contraceptive supply, hormone containing patch, each",,,FALSE,C1509018,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7294-J7307,N=No maintenance for this code,20050101,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862.1,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0820,"Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds",,,FALSE,C1741409,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4289,"Revoshield + amniotic barrier, per square centimeter",,,FALSE,C5884257,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/T2014,"Habilitation, prevocational, waiver; per diem",,,FALSE,C1314614,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C9603,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)",,,FALSE,C3534810,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9600-C9610,N=No maintenance for this code,20130101,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,"0107=PAYMENT IS FOR HOSPITAL OUTPATIENT ONLY. NOT PAYABLE UNDER THE PHYSICIAN FEE SCHEDULE; IN ACCORDANCE WITH FR DATE 8/9/2002 (HOPPS), PAGE 52105.",1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5672,"Addition to lower extremity, below knee, removable medial brim suspension",,,FALSE,C0499913,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S8421,"Gradient pressure aid (sleeve and glove combination), ready made",,,FALSE,C0994181,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J3430,"Injection, phytonadione (vitamin k), per 1 mg",,,FALSE,C0499031,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2468,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms",,,FALSE,C5974260,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5649,"Addition to lower extremity, ischial containment/narrow m-l socket",,,FALSE,C0499893,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4015,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster",,,FALSE,C0994010,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7165,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",,,FALSE,C5974274,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,20240401,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9504,"Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries",,,FALSE,C0812625,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8962,Cardiac stress imaging test performed on patient for any reason including those who did not have low risk surgery or test that was performed more than 30 days preceding low risk surgery,,,FALSE,C3534748,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q0499,"Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only",,,FALSE,C1619406,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0059,Patient safety and support of positive experiences with anesthesia mips value pathways,,,FALSE,C5574484,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L8695,"External recharging system for battery (external) for use with implantable neurostimulator, replacement only",,,FALSE,C1738033,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8690-L9900,N=No maintenance for this code,20090101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20070101,65-8,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S0091,"Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166)",,,FALSE,C0994050,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7185,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u.",,,FALSE,C2729367,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20100101,0,O1E=Other drugs,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,20100101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0295,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",,,FALSE,C0498760,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0127,"Trimming of dystrophic nails, any number",,,FALSE,C0694936,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,19980101,0,P5A=Ambulatory procedures - skin,D=Special coverage instructions apply,19980101,,,A=Not applicable as HCPCS priced under one methodology,4120|2323,,,,11=Price established using national RVU's,,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4312,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone",,,FALSE,C0497813,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,19900101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8567,Patient does not have verification and documentation of sudden or rapidly progressive hearing loss,,,FALSE,C2729209,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20100101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C2639,"Brachytherapy source, non-stranded, iodine-125, per source",,,FALSE,C1971549,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2634-C2699,N=No maintenance for this code,20070701,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20070701,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/M1418,Patients who are not up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination because of a medical contraindication documented by clinician,,,FALSE,C5974365,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C1727,"Catheter, balloon tissue dissector, non-vascular (insertable)",,,FALSE,C0993738,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2363,"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)",,,FALSE,C1314361,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A2032,"Myriad matrix, per square centimeter",,,FALSE,C5979694,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,A=Add procedure or modifier code,20250401,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/V2213,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens",,,FALSE,C0500348,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",,,FALSE,C0498443,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20010101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19930101,60-4,,A=Not applicable as HCPCS priced under one methodology,4107.9,,,,33=Oxygen and oxygen equipment (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9050,"Injection, carmustine, 100 mg",,,FALSE,C0499107,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A0429,"Ambulance service, basic life support, emergency transport (bls-emergency)",,,FALSE,C0918294,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20010101,0,O1A=Ambulance,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L3206,"Orthopedic shoe, hightop with supinator or pronator, child",,,FALSE,C0499659,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0280,"Injection, aminophyllin, up to 250 mg",,,FALSE,C0498758,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S8040,Topographic brain mapping,,,FALSE,C0040469,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8030-S8092,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/S9346,"Home infusion therapy, alpha-1-proteinase inhibitor (e.g., prolastin); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994225,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0283,"Injection, amiodarone hydrochloride (nexterone), 30 mg",,,FALSE,C5771604,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230101,0,O1E=Other drugs,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2121,"Lenticular lens, per lens, single",,,FALSE,C1314651,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2100-V2199,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,2130.B,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/C1601,"Endoscope, single-use (i.e. disposable), pulmonary, imaging/illumination device (insertable)",,,FALSE,C5883962,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1052-C1715,N=No maintenance for this code,20240101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,53=Statute,,1833(T),F=Ambulatory surgical center (facility usage for surgical services)|9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T1018,"School-based individualized education program (iep) services, bundled",,,FALSE,C1145361,http://purl.bioontology.org/ontology/STY/T065,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20020701,0,Z2=Undefined codes,I=Not payable by Medicare,20020701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T065
http://purl.bioontology.org/ontology/HCPCS/S0341,"Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter / stage",,,FALSE,C0994080,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8563,"Patient not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given",,,FALSE,C2729205,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G2209,Patient refused to participate,,,FALSE,C4284598,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J1749,"Injection, iloprost, 0.1 mcg",,,FALSE,C5974248,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20241001,0,O1E=Other drugs,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9644,Patients who abstained from smoking prior to anesthesia on the day of surgery or procedure,,,FALSE,C4067562,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G8476,Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg,,,FALSE,C3871276,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20150101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L1755,"Legg perthes orthosis, (patten bottom type), custom fabricated",,,FALSE,C0499499,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1700-L1755,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",,,FALSE,C1621021,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0510-Q0514,N=No maintenance for this code,20090101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",0129=MMA section 303(e).,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/A2022,"Innovaburn or innovamatrix xl, per square centimeter",,,FALSE,C5883876,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20231001,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J2840,"Injection, sebelipase alfa, 1 mg",,,FALSE,C4284570,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,20170101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0402-G0402,Initial Examination for Medicare Enrollment,,,FALSE,C4542582,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",,,FALSE,C0498552,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/J7599,"Immunosuppressive drug, not otherwise classified",,,FALSE,C0499076,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20000101,0,O1E=Other drugs,D=Special coverage instructions apply,19960101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,,,,51=Drugs,,,1=Medical care|G=Immunosuppressive drugs,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0982,"Wheelchair accessory, back upholstery, replacement only, each",,,FALSE,C1314311,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9818,Documentation of sexual activity,,,FALSE,C4316139,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0085,"Extensive (75 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)",,,FALSE,C4746315,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0068-G0090,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4349,"Mantle dl matrix, per square centimeter",,,FALSE,C5974426,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9733,"Patient unable to complete the low back fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available",,,FALSE,C4746375,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S0148,"Injection, pegylated interferon alfa-2b, 10 mcg",,,FALSE,C2959325,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20101001,0,Z2=Undefined codes,I=Not payable by Medicare,20101001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1253,Patients who respond on the patient experience hu survey that they did not receive care by the listed ambulatory palliative care provider in the last 60 days (disavowal),,,FALSE,C5884158,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1405,Patients with recurrence/disease progression,,,FALSE,C5974352,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S0510,"Non-prescription lens (safety, athletic, or sunglass), per lens",,,FALSE,C0994088,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0500-S0596,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6200-L6205,Prosthetic Procedures - Elbow Disarticulation,,,FALSE,C0813089,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",,,FALSE,C0993712,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20020101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J0100-J8999,Drugs Other Than Chemotherapy,,,FALSE,C2729343,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20J0100-J9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/C8003,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imaging guidance (e.g., fluoroscopy)",,,FALSE,C5974105,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20250101,0,P3D=Major procedure - orthopedic - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,11=Price established using national RVU's,,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8806,Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented,,,FALSE,C4746347,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20190101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L3320,"Lift, elevation, heel and sole, cork, per inch",,,FALSE,C0499689,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3300-L3334,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2770,"Injection, quinupristin/dalfopristin, 500 mg (150/350)",,,FALSE,C0919070,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20010101,0,O1E=Other drugs,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0180,"Injection, agalsidase beta, 1 mg",,,FALSE,C1509009,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20050101,0,O1E=Other drugs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0870,"Traction frame, attached to footboard, extremity traction, (e.g., buck's)",,,FALSE,C0498520,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,19940101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6527,"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each",,,FALSE,C5883890,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1011,Discharge/discontinuation of the episode of care documented in the medical record,,,FALSE,C5203697,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q5010,Hospice home care provided in a hospice facility,,,FALSE,C2959323,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5001-Q5010,N=No maintenance for this code,20101001,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20101001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0133=SEE ONLINE MANUAL 100-02.9.,,1=Medical care|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9395,Patient with an initial phq-9 score greater than nine who did not achieve remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score greater than or equal to five,,,FALSE,C3871305,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4290,"Sacral nerve stimulation test lead, each",,,FALSE,C0918302,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20020101,0,Z2=Undefined codes,C=Carrier judgment,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7308-J7309,Aminolevulinic Acid HCL,,,FALSE,C0876231,http://purl.bioontology.org/ontology/STY/T109|http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J0100-J8999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T109|http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/A6588,"Gradient compression wrap with adjustable straps, arm, each",,,FALSE,C5883929,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,C=Change in long description of procedure or modifier code,20250401,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6502,"Compression burn garment, chin strap, custom fabricated",,,FALSE,C1144972,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8659,"Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size",,,FALSE,C1314477,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8630-L8659,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz.",,,FALSE,C0497964,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5102-A5200,N=No maintenance for this code,19900101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1224,"Wheelchair with detachable arms, elevating legrests",,,FALSE,C0498609,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1220-E1228,N=No maintenance for this code,19900101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-6,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0350,Control unit for electronic bowel irrigation/evacuation system,,,FALSE,C0498438,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19950101,0,Z2=Undefined codes,C=Carrier judgment,19950101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0504,"Single vision prescription lens (safety, athletic, or sunglass), per lens",,,FALSE,C0994085,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0500-S0596,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S5111,"Home care training, family; per session",,,FALSE,C1314557,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0742,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg",,,FALSE,C5439735,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20200701,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0080,"Injection, pentamidine isethionate, 300 mg",,,FALSE,C0812793,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3400,"Metatarsal bar wedge, rocker",,,FALSE,C0499699,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3340-L3420,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9099,"Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)",,,FALSE,C1618883,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",,,FALSE,C0499300,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20000101,0,D1E=Other DME,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4021,"Cast supplies, short arm splint, adult (11 years +), plaster",,,FALSE,C0994016,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1810,"Dynamic adjustable knee extension and flexion device, includes soft interface material",,,FALSE,C0498674,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20250101,0,D1E=Other DME,C=Carrier judgment,19960101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4802,"Protamine sulfate, for hemodialysis, per 50 mg",,,FALSE,C0993704,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6509,"Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated",,,FALSE,C1144979,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2000,"Blinded administration of convulsive therapy procedure, either electroconvulsive therapy (ect, current covered gold standard) or magnetic seizure therapy (mst, non-covered experimental therapy), performed in an approved ide-based clinical trial, per treatment session",,,FALSE,C4746318,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20180801,0,P6D=Minor procedures - other (Non-Medicare fee schedule),C=Carrier judgment,20180801,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q2055,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose",,,FALSE,C5574634,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,N=No maintenance for this code,20240404,0,O1D=Chemotherapy,C=Carrier judgment,20220101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9207,"Injection, ixabepilone, 1 mg",,,FALSE,C2368491,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,20090101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L1290,"Addition to tlso, (low profile), lateral trochanteric pad",,,FALSE,C0499478,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1200-L1290,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0671,"Segmental gradient pressure pneumatic appliance, full leg",,,FALSE,C0498494,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0650-E0677,N=No maintenance for this code,19950101,0,D1E=Other DME,D=Special coverage instructions apply,19950101,60-16,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",,,FALSE,C0497970,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5460,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee",,,FALSE,C0499849,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5400-L5460,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6910,"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining",,,FALSE,C0500106,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6890-L6915,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9225,"Foot exam was not performed, reason not given",,,FALSE,C3710329,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A5052,"Ostomy pouch, closed; without barrier attached (1 piece), each",,,FALSE,C0497939,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5051-A5093,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5200,"Dispensing fee, contralateral, monaural",,,FALSE,C4746515,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20190101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,19820101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/C1880,Vena cava filter,,,FALSE,C0080306,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A2012,"Suprathel, per square centimeter",,,FALSE,C5771498,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20220401,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20220401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Q4315,"Regenelink amniotic membrane allograft, per square centimeter",,,FALSE,C5974392,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Q0497,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only",,,FALSE,C1616852,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7641,"Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram",,,FALSE,C0993959,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4012,"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass",,,FALSE,C0994007,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9431,"Pathology report does not include the pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors",,,FALSE,C4746349,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1341,Patients who did not have a follow-up assessment or did not have an assessment within 30 to 180 days after the index assessment during the performance period,,,FALSE,C5884204,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E1353,Regulator,,,FALSE,C4281746,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1352-E1406,N=No maintenance for this code,20090101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19860101,60-4,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4107.9,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7556,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic guidance, when performed",,,FALSE,C5883965,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20240101,0,P8F=Endoscopy - bronchoscopy,D=Special coverage instructions apply,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,20240101,,YY,99=Value not established,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C7505,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusive of all imaging guidance",,,FALSE,C5771520,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P3D=Major procedure - orthopedic - other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,Provider Services,,,FALSE,C4542652,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20S0000-S9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/P9050,"Granulocytes, pheresis, each unit",,,FALSE,C0993848,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20020101,0,Z2=Undefined codes,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0703,"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg",,,FALSE,C5771606,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4298,"Amnicore pro, per square centimeter",,,FALSE,C5884266,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Q4344,"Tri-membrane wrap, per square centimeter",,,FALSE,C5974421,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20241001,0,O1E=Other drugs,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3140-L3170,Abduction and Rotation Bars,,,FALSE,C0813039,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3000-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S8080,"Scintimammography (radioimmunoscintigraphy of the breast), unilateral, including supply of radiopharmaceutical",,,FALSE,C0919207,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8030-S8092,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0161,"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s",,,FALSE,C0498372,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0160-E0162,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7500,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-delivery device(s)",,,FALSE,C5771515,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20240101,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9842,Patient has metastatic disease at diagnosis,,,FALSE,C4316119,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L6722,"Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined",,,FALSE,C1971369,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6700-L6882,N=No maintenance for this code,20090101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S5571,"Insulin delivery device, disposable pen (including insulin); 3 ml size",,,FALSE,C1314594,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5550-S5571,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6920,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device",,,FALSE,C0500108,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6920-L6975,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5611,"Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control",,,FALSE,C0499865,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5610-L5617,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6650,"Upper extremity addition, shoulder universal joint, each",,,FALSE,C0500043,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J3357,"Ustekinumab, for subcutaneous injection, 1 mg",,,FALSE,C2959260,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,20110101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1031-E1039,Rollabout Chair and Transfer System,,,FALSE,C0812969,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0045,Clinical follow-up and mrs score assessed at 90 days following endovascular stroke intervention,,,FALSE,C5574471,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5925,"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock",,,FALSE,C0499970,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,20000101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6505,"Compression burn garment, glove to elbow, custom fabricated",,,FALSE,C1144975,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9306,Intervention for presence of leak of endoluminal contents through an anastomosis required,,,FALSE,C3710407,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0783,"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.)",,,FALSE,C4048607,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0776-E0791,N=No maintenance for this code,19980101,0,D1E=Other DME,D=Special coverage instructions apply,19950101,60-14,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9643,Elective surgery,,,FALSE,C0206058,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3480,"Heel, pad and depression for spur",,,FALSE,C0499709,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3430-L3485,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9036,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg",,,FALSE,C5229171,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20190701,0,O1D=Chemotherapy,C=Carrier judgment,20190701,,,A=Not applicable as HCPCS priced under one methodology,,20190701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1358,Patients who did not have a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment,,,FALSE,C5884219,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2570-L2680,Additions to Pelvic and Thoracic Control Orthotics,,,FALSE,C5228966,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1600-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1566,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg",,,FALSE,C1619393,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20080101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1841,"Static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories",,,FALSE,C1508809,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,C=Change in long description of procedure or modifier code,20250401,0,D1E=Other DME,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9709,Hospice services used by patient any time during the measurement period,,,FALSE,C4316223,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J7677,"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram",,,FALSE,C5229169,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20190701,0,D1G=Drugs Administered through DME,C=Carrier judgment,20190701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6680,"Upper extremity addition, test socket, wrist disarticulation or below elbow",,,FALSE,C0500051,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2526,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted",,,FALSE,C0499604,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2500-L2550,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2670,"Injection, tolazoline hcl, up to 25 mg",,,FALSE,C0498968,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L8687,"Implantable neurostimulator pulse generator, dual array, rechargeable, includes extension",,,FALSE,C1618898,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8678-L8689,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2340,"Power wheelchair accessory, nonstandard seat frame width, 20-23 inches",,,FALSE,C1314353,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0139,"Injection, adalimumab, 1 mg",,,FALSE,C5974213,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2372,"Injection, phenylephrine hydrochloride (biorphen), 20 micrograms",,,FALSE,C5884069,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J3265,"Injection, torsemide, 10 mg/ml",,,FALSE,C1321788,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19960101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L2188,"Addition to lower extremity fracture orthosis, quadrilateral brim",,,FALSE,C0499565,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2180-L2192,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8708,Patient not prescribed antibiotic,,,FALSE,C3248453,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S5101,"Day care services, adult; per half day",,,FALSE,C1314551,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L8631,"Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes entire system)",,,FALSE,C1314476,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8630-L8659,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2211,"Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)",,,FALSE,C5439723,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,Semen Analysis,,,FALSE,C0202533,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/G9497,Received instruction from the anesthesiologist or proxy prior to the day of surgery to abstain from smoking on the day of surgery,,,FALSE,C4067448,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9274,Blood pressure has a systolic value of =140 and a diastolic value of = 90 or systolic value < 140 and diastolic value = 90 or systolic value = 140 and diastolic value < 90,,,FALSE,C3710378,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J9204,"Injection, mogamulizumab-kpkc, 1 mg",,,FALSE,C4746288,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20191001,0,O1D=Chemotherapy,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,20191001,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9275,Documentation that patient is a current non-tobacco user,,,FALSE,C3710379,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E1808,"Dynamic adjustable wrist flexion only device, includes soft interface material",,,FALSE,C5974137,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20250101,0,D1E=Other DME,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A2023,"Innovamatrix pd, 1 mg",,,FALSE,C5883877,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20231001,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9279,Pneumococcal screening performed and documentation of vaccination received prior to discharge,,,FALSE,C3710383,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G4018,Obstetrics/gynecology mips specialty set,,,FALSE,C5574521,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J1931,"Injection, laronidase, 0.1 mg",,,FALSE,C1509012,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20050101,0,O1E=Other drugs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1735,"Catheter(s), intravascular for renal denervation, radiofrequency, including all single use system components",,,FALSE,C5974093,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1724-C1759,N=No maintenance for this code,20250101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2105,"Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period",,,FALSE,C5203688,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L5639,"Addition to lower extremity, below knee, wood socket",,,FALSE,C0499884,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6655,"Upper extremity addition, standard control cable, extra",,,FALSE,C0500044,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L1907,"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated",,,FALSE,C1314463,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1900-L1990,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1829,"Dynamic adjustable toe flexion only device, includes soft interface material",,,FALSE,C5974145,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20250101,0,D1E=Other DME,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S3853,Genetic testing for myotonic muscular dystrophy,,,FALSE,C1314549,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S3800-S3870,N=No maintenance for this code,20040101,0,Z2=Undefined codes,I=Not payable by Medicare,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/A4619,Face tent,,,FALSE,C0180824,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4611-A4629,N=No maintenance for this code,20110701,0,D1E=Other DME,D=Special coverage instructions apply,19900101,60-4,,A=Not applicable as HCPCS priced under one methodology,3312,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8869,Patient has documented immunity to hepatitis b and initiating anti-tnf therapy,,,FALSE,C3248603,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20180101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0114,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips",,,FALSE,C0498355,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0110-E0118,N=No maintenance for this code,19970101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1226,"Iop measurement not documented, reason not otherwise specified",,,FALSE,C5884131,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C9808,"Nerve cryoablation probe (e.g., cryoice, cryosphere, cryosphere max, cryoice cryosphere, cryoice cryo2), including probe and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)",,,FALSE,C5974118,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20250101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,53=Statute,,1833(t),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0074,"Injection, cefotetan disodium, 500 mg",,,FALSE,C0812790,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4158,"Kerecis omega3, per square centimeter",,,FALSE,C4542804,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L0455,"Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf",,,FALSE,C3710473,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0509,Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a,,,FALSE,C3710551,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130401,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20130401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/E0621,"Sling or seat, patient lift, canvas or nylon",,,FALSE,C0498476,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0621-E0642,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4287,"Disposable collection and storage bag for breast milk, any size, any type, each",,,FALSE,C5229183,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4159,"Affinity, per square centimeter",,,FALSE,C3871397,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20150101,0,O1E=Other drugs,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9187-G9187,Bundled Payment Care Improvement,,,FALSE,C4542610,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0475,"Injection, baclofen, 10 mg",,,FALSE,C0498771,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19940101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V5286,"Assistive listening device, personal blue tooth fm/dm receiver",,,FALSE,C3534648,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5268-V5290,N=No maintenance for this code,20130101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862a7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5840,"Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control",,,FALSE,C0499963,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T4542,"Incontinence product, disposable underpad, small size, each",,,FALSE,C1509124,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,Z2=Undefined codes,I=Not payable by Medicare,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2181,Bmi not documented due to medical reason or patient refusal of height or weight measurement,,,FALSE,C5439695,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1016,Female patients unable to bear children,,,FALSE,C4746438,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/C2626,"Infusion pump, non-programmable, temporary (implantable)",,,FALSE,C0993813,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2617-C2631,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S5165,Home modifications; per service,,,FALSE,C1314577,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0941,"Gravity assisted traction device, any type",,,FALSE,C0498529,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,19890101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2180,"Injection, meperidine and promethazine hcl, up to 50 mg",,,FALSE,C0498929,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2788,Presbyopia correcting function of intraocular lens,,,FALSE,C1616355,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20060101,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862(a)(7),Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1232,Patient receives hcv antibody test with reactive result,,,FALSE,C5884137,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V5247,"Hearing aid, digitally programmable analog, monaural, bte (behind the ear)",,,FALSE,C0994296,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1645,"Injection, dalteparin sodium, per 2500 iu",,,FALSE,C0498888,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20020701,0,O1E=Other drugs,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J3000,"Injection, streptomycin, up to 1 gm",,,FALSE,C0498994,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A7018,"Water, distilled, used with large volume nebulizer, 1000 ml",,,FALSE,C0918323,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20010101,0,D1E=Other DME,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0486,"Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, lateral strength is enhanced by overlapping plastic, restricts gross trunk motion in the sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated",,,FALSE,C1145270,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S0395,Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic,,,FALSE,C0994082,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4611-A4629,Supplies for Respiratory and Oxygen Equipment,,,FALSE,C3871219,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S5521,"Home infusion therapy, all supplies (including catheter) necessary for a midline catheter insertion",,,FALSE,C0994159,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5497-S5523,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2407,"Injection, oritavancin (orbactiv), 10 mg",,,FALSE,C3871256,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20211001,0,O1E=Other drugs,D=Special coverage instructions apply,20160101,,,A=Not applicable as HCPCS priced under one methodology,2049,20160101,,YY,51=Drugs,"0127=PUBLICATION 100.2, CHAPTER 15, 50.1.",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2354,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg",,,FALSE,C1314419,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20040101,0,O1E=Other drugs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6037,"Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers",,,FALSE,C5979752,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6000-L6037,A=Add procedure or modifier code,20250401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0257,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg",,,FALSE,C3248643,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20120101,0,O1E=Other drugs,D=Special coverage instructions apply,20120101,,,A=Not applicable as HCPCS priced under one methodology,2049,20120101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L0172,"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf",,,FALSE,C3710469,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0112-L0174,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4142,"Xcm biologic tissue matrix, per square centimeter",,,FALSE,C3710564,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/C1823,"Generator, neurostimulator (implantable), non-rechargeable, with transvenous sensing and stimulation leads",,,FALSE,C4746283,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20230101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),F=Ambulatory surgical center (facility usage for surgical services)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5274,"Assistive listening device, not otherwise specified",,,FALSE,C0493583,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5268-V5290,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S3900,Surface electromyography (emg),,,FALSE,C0430815,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S3900-S3904,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G2168,"Services performed by a physical therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program, each 15 minutes",,,FALSE,C5439683,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9328,"Home infusion therapy, implanted pump pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994213,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8875,Clinician diagnosed breast cancer preoperatively by a minimally invasive biopsy method,,,FALSE,C3248609,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width",,,FALSE,C0520101,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0181-E0199,N=No maintenance for this code,19980101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,4107.6,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9999,"Documentation of system reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., unable to locate previous colonoscopy report, patient cannot provide precise date or details from previous colonoscopy, previous colonoscopy report was incomplete)",,,FALSE,C5574551,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q2054,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose",,,FALSE,C5551177,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,N=No maintenance for this code,20211001,0,O1E=Other drugs,C=Carrier judgment,20211001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S1001,"Deluxe item, patient aware (list in addition to code for basic item)",,,FALSE,C0994098,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1302,"Screening, diagnostic, film digital or digital breast tomosynthesis (3d) mammography results documented and reviewed",,,FALSE,C5849248,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C1052,"Hemostatic agent, gastrointestinal, topical",,,FALSE,C5439627,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1052-C1715,N=No maintenance for this code,20240101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20210101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/J0743,"Injection, cilastatin sodium; imipenem, per 250 mg",,,FALSE,C0498807,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19930101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L0628,"Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf",,,FALSE,C3710484,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0628-L0640,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1921,"Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg",,,FALSE,C5884061,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E2609,"Custom fabricated wheelchair seat cushion, any size",,,FALSE,C1508933,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2601-E2621,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7504,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg",,,FALSE,C0993954,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20020101,0,O1E=Other drugs,D=Special coverage instructions apply,19880101,45-22,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,G=Immunosuppressive drugs|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3252,"Foot, shoe molded to patient model, plastazote (or similar), custom fabricated, each",,,FALSE,C0499680,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1096,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg",,,FALSE,C5229011,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,20191001,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7214,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u.",,,FALSE,C5884083,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20231001,0,O1E=Other drugs,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,20231001,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1229-E1239,Wheelchair: Pediatric,,,FALSE,C1508807,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9345,"Injection, retifanlimab-dlwr, 1 mg",,,FALSE,C5884108,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20231001,0,O1D=Chemotherapy,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,20231001,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0498,"Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion",,,FALSE,C4316271,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0498-G0498,N=No maintenance for this code,20160101,0,P7B=Oncology - other,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L8698,"Miscellaneous component, supply or accessory for use with total artificial heart system",,,FALSE,C4746426,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8690-L9900,N=No maintenance for this code,20190101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C3710539,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4350-L4631,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2002,"Limited (30 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)",,,FALSE,C5229038,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5966,"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system",,,FALSE,C0499977,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19940101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6204,"Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing",,,FALSE,C0520029,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2650,"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each",,,FALSE,C0499619,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2570-L2680,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J8522,"Capecitabine, oral, 50 mg",,,FALSE,C5974278,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,N=No maintenance for this code,20250101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20241001,,,A=Not applicable as HCPCS priced under one methodology,2049.5,20250101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6250,"Skin sealants, protectants, moisturizers, ointments, any type, any size",,,FALSE,C0520058,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20240401,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2079,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9185,"Injection, fludarabine phosphate, 50 mg",,,FALSE,C0499129,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20230101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19940101,,,A=Not applicable as HCPCS priced under one methodology,2049,20230101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G4035,Thoracic surgery mips specialty set,,,FALSE,C5574538,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0666,"Non-segmental pneumatic appliance for use with pneumatic compressor, half leg",,,FALSE,C0498489,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0650-E0677,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-16,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0543,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers",,,FALSE,C5974176,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J2353,"Injection, octreotide, depot form for intramuscular injection, 1 mg",,,FALSE,C1314488,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20040101,0,O1E=Other drugs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q2041,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose",,,FALSE,C4746476,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20180401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K0005,Ultralightweight wheelchair,,,FALSE,C0499166,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,19940101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2208,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens",,,FALSE,C0500343,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G8826,Patient discharged to home no later than post-operative day #2 following evar,,,FALSE,C3248562,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9771,At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) achieved within the 30 minutes immediately before or 15 minutes immediately after anesthesia end time,,,FALSE,C4316182,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A7048,"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each",,,FALSE,C3871240,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20150101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2096,"Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) or angiotensin receptor-neprilysin inhibitor (arni) therapy was not prescribed, reason not given",,,FALSE,C5229083,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4590,"Special casting material (e.g., fiberglass)",,,FALSE,C0497871,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,19840101,0,D1A=Medical/surgical supplies,I=Not payable by Medicare,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2079,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/E0855,Cervical traction equipment not requiring additional stand or frame,,,FALSE,C0520113,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0830-E0948,N=No maintenance for this code,20140401,0,D1E=Other DME,C=Carrier judgment,19980101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9662,"Previously diagnosed or have a diagnosis of clinical ascvd, including ascvd procedure",,,FALSE,C4067579,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0378,"Hospital observation service, per hour",,,FALSE,C1618347,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0378-G0384,N=No maintenance for this code,20060101,0,M2A=Hospital visit - initial,D=Special coverage instructions apply,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0107=PAYMENT IS FOR HOSPITAL OUTPATIENT ONLY. NOT PAYABLE UNDER THE PHYSICIAN FEE SCHEDULE; IN ACCORDANCE WITH FR DATE 8/9/2002 (HOPPS), PAGE 52105.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2620,"Addition to lower extremity, pelvic control, hip joint, heavy duty, each",,,FALSE,C0499612,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2570-L2680,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0487,"Spirometer, electronic, includes all accessories",,,FALSE,C2368675,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20090101,0,Z2=Undefined codes,D=Special coverage instructions apply,20090101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0156=1833(+)(2)(B) OF THE ACT; CY 2008 OPPS/ASC FINAL RULE (DATED NOVEMBER 22, 2007), P. 66611.",,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9361,"Collagen matrix nerve wrap (neuromend collagen nerve wrap), per 0.5 centimeter length",,,FALSE,C2729468,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20090701,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20090701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,621MMA,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A2034,"Foundation drs solo, per square centimeter",,,FALSE,C5979696,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,A=Add procedure or modifier code,20250401,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/V2624,Polishing/resurfacing of ocular prosthesis,,,FALSE,C0500401,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2623-V2629,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19930101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9129,"Occupational therapy, in the home, per diem",,,FALSE,C0812853,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C7540,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system)",,,FALSE,C5771553,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P2E=Major procedure - cardiovascular - Pacemaker insertion,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2599,"Accessory for speech generating device, not otherwise classified",,,FALSE,C0919097,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2500-E2599,N=No maintenance for this code,20140401,0,D1E=Other DME,D=Special coverage instructions apply,20040101,60-23,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4480,Vabra aspirator,,,FALSE,C0497859,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20010101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19860101,50-10,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2320,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1406,Patients who leave the practice during the follow-up period,,,FALSE,C5974353,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J9219,"Leuprolide acetate implant, 65 mg",,,FALSE,C0919082,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20180101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S2265,"Induced abortion, 25 to 28 weeks",,,FALSE,C1314521,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20070101,0,Z2=Undefined codes,I=Not payable by Medicare,20021001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,Non-Medicare Drugs,,,FALSE,C4542651,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20S0000-S9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/G0310,"Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes)",,,FALSE,C5771580,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20220511,0,M5D=Specialist - other,I=Not payable by Medicare,20220511,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,99=Value not established,0225=SERVICES FOR MEDICAID PURPOSES.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0211,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote)",,,FALSE,C5974217,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,20240701,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G6004,"Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 6-10 mev",,,FALSE,C0373368,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G6003-G6017,N=No maintenance for this code,20150101,0,P7A=Oncology - radiation therapy,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7601,"Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mg",,,FALSE,C5974277,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20250101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0057,Proposed adopting best practices and promoting patient safety within emergency medicine mips value pathways,,,FALSE,C5574482,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S9977,"Meals, per diem, not otherwise specified",,,FALSE,C1509100,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9900-S9999,N=No maintenance for this code,20040401,0,Z2=Undefined codes,I=Not payable by Medicare,20040401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0196,Gel pressure mattress,,,FALSE,C0182389,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0181-E0199,N=No maintenance for this code,19910101,0,D1E=Other DME,D=Special coverage instructions apply,19910101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S8415,Supplies for home delivery of infant,,,FALSE,C0994179,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2200,"Addition to lower extremity, limited ankle motion, each joint",,,FALSE,C0499568,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1275,Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period,,,FALSE,C5884180,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S0285,Colonoscopy consultation performed prior to a screening colonoscopy procedure,,,FALSE,C4316075,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20160701,0,Z2=Undefined codes,I=Not payable by Medicare,20160701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4022,"Cast supplies, short arm splint, adult (11 years +), fiberglass",,,FALSE,C0994017,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each",,,FALSE,C3710515,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3140-L3170,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4042,"Cast supplies, long leg splint, adult (11 years +), fiberglass",,,FALSE,C0994037,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6241,"Hydrocolloid dressing, wound filler, dry form, sterile, per gram",,,FALSE,C0520050,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0810,Photorefractive keratectomy (prk),,,FALSE,C0395416,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,2=Surgery|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1827,"Dynamic adjustable finger flexion only device, includes soft interface material",,,FALSE,C5974143,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20250101,0,D1E=Other DME,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2810,"Injection, theophylline, per 40 mg",,,FALSE,C0498982,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2020,"Frames, purchases",,,FALSE,C0500313,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2020-V2025,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/T2027,"Specialized childcare, waiver; per 15 minutes",,,FALSE,C1314627,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L6883,"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power",,,FALSE,C1617357,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6883-L6885,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0873,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg",,,FALSE,C5884041,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6900,"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining",,,FALSE,C0500104,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6890-L6915,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",,,FALSE,C0520041,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T1003,"Lpn/lvn services, up to 15 minutes",,,FALSE,C0994277,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0372,"Powered air overlay for mattress, standard mattress length and width",,,FALSE,C0520109,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19980101,0,D1E=Other DME,C=Carrier judgment,19980101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4618,Breathing circuits,,,FALSE,C0179423,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4611-A4629,N=No maintenance for this code,19930101,0,D1E=Other DME,D=Special coverage instructions apply,19900101,60-4,,A=Not applicable as HCPCS priced under one methodology,3312,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1510,"Kidney, dialysate delivery syst kidney machine, pump recirculating, air removal syst, flowrate meter, power off, heater and temperature control with alarm, i.v. poles, pressure gauge, concentrate container",,,FALSE,C0498650,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C2634,"Brachytherapy source, non-stranded, high activity, iodine-125, greater than 1.01 mci (nist), per source",,,FALSE,C1617824,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2634-C2699,N=No maintenance for this code,20070701,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20050101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(T),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4455,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce",,,FALSE,C0497855,http://purl.bioontology.org/ontology/STY/T167,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,19950101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19890101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T167
http://purl.bioontology.org/ontology/HCPCS/K0879,"Power wheelchair, group 4 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds",,,FALSE,C1743177,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0670,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk",,,FALSE,C3534803,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0650-E0677,N=No maintenance for this code,20130101,0,D1E=Other DME,D=Special coverage instructions apply,20130101,60-16,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6588,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, molded to patient model",,,FALSE,C0500023,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6580-L6590,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0152,"Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes",,,FALSE,C0812713,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20110101,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,19990701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0082=G0151-G0156 MAY BE BILLED ONLY FOR HOME HEALTH CARE SERVICES PROVIDED UNDER A PLAN OF CARE. SEE CR#588.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0532,"Take-home supply of nasal nalmefene hydrochloride; one carton of two, 2.7 mg per 0.1 ml nasal sprays (provision of the services by a medicare-enrolled opioid treatment program);( list separately in addition to each primary code)",,,FALSE,C5974165,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",,,FALSE,C1508925,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2601-E2621,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1721,"Cardioverter-defibrillator, dual chamber (implantable)",,,FALSE,C0993732,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1721-C1722,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C9145,"Injection, aprepitant, (aponvie), 1 mg",,,FALSE,C5883971,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20230401,0,O1E=Other drugs,D=Special coverage instructions apply,20230401,,,A=Not applicable as HCPCS priced under one methodology,,20230401,,YY,53=Statute,,1833(t),F=Ambulatory surgical center (facility usage for surgical services)|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G4007,General surgery mips specialty set,,,FALSE,C5574510,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4011,"Cast supplies, short arm cast, pediatric (0-10 years), plaster",,,FALSE,C0994006,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0502-G0507,Psychiatric Care Management,,,FALSE,C4542597,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2506,"Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time",,,FALSE,C1314370,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2500-E2599,N=No maintenance for this code,20190101,0,D1E=Other DME,D=Special coverage instructions apply,20040101,60-23,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9331,"Home infusion therapy, intermittent (less than twenty-four hours) chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994216,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A7014,"Filter, nondisposable, used with aerosol compressor or ultrasonic generator",,,FALSE,C0812624,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20000101,0,D1E=Other DME,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",,,FALSE,C0498513,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0776-E0791,N=No maintenance for this code,20000701,0,D1E=Other DME,D=Special coverage instructions apply,19870101,60-14,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4720,"Dialysate solution, any concentration of dextrose, fluid volume greater than 249 cc, but less than or equal to 999 cc, for peritoneal dialysis",,,FALSE,C0993689,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9052,Oncology; primary focus of visit; surveillance for disease recurrence for patient who has completed definitive cancer-directed therapy and currently lacks evidence of recurrent disease; cancer directed therapy might be considered in the future (for use in a medicare-approved demonstration project),,,FALSE,C1618363,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5827,"Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping",,,FALSE,C5979745,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,A=Add procedure or modifier code,20250401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9508,Documentation that the patient is not on a statin medication,,,FALSE,C4067459,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0950,"Wheelchair accessory, tray, each",,,FALSE,C1962918,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20180101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1329,Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 8 weeks after initial acute pvd encounter,,,FALSE,C5884194,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J9249,"Injection, melphalan (apotex), 1 mg",,,FALSE,C5974290,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240401,0,O1D=Chemotherapy,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0512,"Rural health clinic or federally qualified health center (rhc/fqhc) only, psychiatric collaborative care model (psychiatric cocm), 60 minutes or more of clinical staff time for psychiatric cocm services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm) and including services furnished by a behavioral health care manager and consultation with a psychiatric consultant, per calendar month",,,FALSE,C4542705,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0511-G0512,N=No maintenance for this code,20180101,0,M5D=Specialist - other,D=Special coverage instructions apply,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",0214=SERVICES FOR RURAL HEALTH CLINIC OR FEDERALLY QUALIFIED HEALTH CENTER (RHC/FQHC) ONLY.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J1740,"Injection, ibandronate sodium, 1 mg",,,FALSE,C1742211,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1162,"Injection, digoxin immune fab (ovine), per vial",,,FALSE,C0919131,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20060101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,0095=AS REQUIRED BY BBRA SECTION 201.,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0652,"Pneumatic compressor, segmental home model with calibrated gradient pressure",,,FALSE,C0498485,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0650-E0677,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19880101,60-16,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1631,"Injection, haloperidol decanoate, per 50 mg",,,FALSE,C0498884,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19890101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1083,"Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest",,,FALSE,C0498577,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1083-E1086,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0480,"Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated",,,FALSE,C1145267,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3001,"Foot, insert, removable, molded to patient model, spenco, each",,,FALSE,C0499638,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3000-L3031,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2997,"Injection, alteplase recombinant, 1 mg",,,FALSE,C0919074,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20010101,0,O1E=Other drugs,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1092-E1093,Wheelchair: Wide Heavy Duty,,,FALSE,C4542575,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0203,"Therapeutic lightbox, minimum 10,000 lux, table top model",,,FALSE,C1145081,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0200-E0239,N=No maintenance for this code,20050101,0,D1E=Other DME,M=Non-covered by Medicare,20030101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5968,"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature",,,FALSE,C0694976,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,20000101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19990101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8678-L8689,Prosthetic Implants - Neurostimulator,,,FALSE,C2729399,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L8500-L9900,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0585,"Injection, onabotulinumtoxina, 1 unit",,,FALSE,C2729274,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20100101,0,O1E=Other drugs,D=Special coverage instructions apply,19910101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2199,"Not otherwise classified, single vision lens",,,FALSE,C0500334,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2100-V2199,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A9503,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries",,,FALSE,C0497978,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,19970101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/G9887,"Behavioral counseling for diabetes prevention, distance learning, 60 minutes",,,FALSE,C5884015,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20240101,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C9606,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel",,,FALSE,C3534807,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9600-C9610,N=No maintenance for this code,20130101,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,"0107=PAYMENT IS FOR HOSPITAL OUTPATIENT ONLY. NOT PAYABLE UNDER THE PHYSICIAN FEE SCHEDULE; IN ACCORDANCE WITH FR DATE 8/9/2002 (HOPPS), PAGE 52105.",1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8851,"Adherence to therapy was assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available, documented)",,,FALSE,C5884010,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20240101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G8858,"Referral to a physician for an otologic evaluation not performed, reason not given",,,FALSE,C3248592,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0641,"Standing frame/table system, multi-position (e.g., three-way stander), any size including pediatric, with or without wheels",,,FALSE,C1620976,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0621-E0642,N=No maintenance for this code,20120101,0,D1E=Other DME,M=Non-covered by Medicare,20060101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5258,"Hearing aid, digital, binaural, cic",,,FALSE,C0994307,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6198,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing",,,FALSE,C0520178,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0088,"Professional services, initial visit, for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 minutes",,,FALSE,C5439665,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0068-G0090,N=No maintenance for this code,20210101,0,M4A=Home visit,D=Special coverage instructions apply,20210101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,"0223=THESE G CODES ARE ASSOCIATED WITH A NEW PART B BENEFIT CATEGORY ESTABLISHED BY THE FOLLOWING SECTIONS IN THE SOCIAL SECURITY ACT: 1861(s)(2)(GG), 1861(iii), 1834(u).",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C7551,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle",,,FALSE,C5771564,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P5E=Ambulatory procedures - other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0177,"Injection, aflibercept hd, 1 mg",,,FALSE,C5883975,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,20240401,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/H2037,"Developmental delay prevention activities, dependent child of client, per 15 minutes",,,FALSE,C1314410,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L3003,"Foot, insert, removable, molded to patient model, silicone gel, each",,,FALSE,C0499640,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3000-L3031,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T1012,"Alcohol and/or substance abuse services, skills development",,,FALSE,C0994286,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V2118,"Aniseikonic lens, single vision",,,FALSE,C0500333,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2100-V2199,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9664,Patients who are currently statin therapy users or received an order (prescription) for statin therapy,,,FALSE,C4067581,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/T1026,"Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour",,,FALSE,C1145368,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20240101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V5241,"Dispensing fee, monaural hearing aid, any type",,,FALSE,C0994290,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/T2017,"Habilitation, residential, waiver; 15 minutes",,,FALSE,C1314617,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/T5001,Positioning seat for persons with special orthopedic needs,,,FALSE,C1314649,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20070101,0,Z2=Undefined codes,I=Not payable by Medicare,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1000,"Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model",,,FALSE,C0499454,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1000-L1120,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4721,"Dialysate solution, any concentration of dextrose, fluid volume greater than 999 cc but less than or equal to 1999 cc, for peritoneal dialysis",,,FALSE,C0993690,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1500,"Centrifuge, for dialysis",,,FALSE,C0993864,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,Prosthetic Procedures - Upper Limb,,,FALSE,C0813085,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L5000-L9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L8015,"External breast prosthesis garment, with mastectomy form, post mastectomy",,,FALSE,C0694980,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8000-L8039,N=No maintenance for this code,19990101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19990101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0438,"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit",,,FALSE,C2958954,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0438-G0451,N=No maintenance for this code,20110101,0,M5D=Specialist - other,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T4541,"Incontinence product, disposable underpad, large, each",,,FALSE,C1509123,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,Z2=Undefined codes,I=Not payable by Medicare,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0277,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval",,,FALSE,C0918496,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20150101,0,P5E=Ambulatory procedures - other,D=Special coverage instructions apply,20150101,35-10,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)","0200=TECHNICAL TREATMENT AND DELIVERY OF HBOT, PHYSICIAN SUPERVISION CODE 99183.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1238,"Wheelchair, pediatric size, folding, adjustable, without seating system",,,FALSE,C1145118,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1229-E1239,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,D=Special coverage instructions apply,20030101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0281,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",,,FALSE,C1145153,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20030401,0,P5E=Ambulatory procedures - other,C=Carrier judgment,20030401,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,U=Occupational therapy|1=Medical care|W=Physical therapy,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1356,"Oxygen accessory, battery pack/cartridge for portable concentrator, any type, replacement only, each",,,FALSE,C2368680,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1352-E1406,N=No maintenance for this code,20090101,0,D1C=Oxygen and supplies,C=Carrier judgment,20090101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0153,"Platform attachment, forearm crutch, each",,,FALSE,C0498365,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0130-E0155,N=No maintenance for this code,19960101,0,D1E=Other DME,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9176,"Injection, elotuzumab, 1 mg",,,FALSE,C4284573,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,20170101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L8720,"External lower extremity sensory prosthetic device, cutaneous stimulation of mechanoreceptors proximal to the ankle, per leg",,,FALSE,C5974303,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8690-L9900,N=No maintenance for this code,20241001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4140,"Biodfence, per square centimeter",,,FALSE,C3710562,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9769,Patient had a bone mineral density test in the past two years or received osteoporosis medication or therapy in the past 12 months,,,FALSE,C4316184,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4337,"Incontinence supply, rectal insert, any type, each",,,FALSE,C4067394,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,20160101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20160101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4366,"Dual layer amnio burgeon x-membrane, per square centimeter",,,FALSE,C5979769,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Q4185,Cellesta flowable amnion (25 mg per cc); per 0.5 cc,,,FALSE,C4746481,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/M1029,"Imaging of the head (ct or mri) was not obtained, reason not given",,,FALSE,C4722282,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J3355,"Injection, urofollitropin, 75 iu",,,FALSE,C0919143,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,0095=AS REQUIRED BY BBRA SECTION 201.,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9321,Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study,,,FALSE,C5974205,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20250101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A9568,"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries",,,FALSE,C1738552,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,53=Statute,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/S9475,"Ambulatory setting substance abuse treatment or detoxification services, per diem",,,FALSE,C0812863,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8650,"Residual score for the knee impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge, reason not given",,,FALSE,C5229130,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0105,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips",,,FALSE,C0498350,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0100-E0105,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9|60-15,,A=Not applicable as HCPCS priced under one methodology,2100.1,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8601,"Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well for reasons documented by clinician (e.g. patient enrolled in clinical trial for stroke, patient admitted for elective carotid intervention)",,,FALSE,C5884009,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20240101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9544,"Patients that do not have the filter removed, documented re-assessment for the appropriateness of filter removal, or documentation of at least two attempts to reach the patient to arrange a clinical re-assessment for the appropriateness of filter removal within 3 months of placement",,,FALSE,C4067493,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A6577,"Gradient compression arm sleeve, custom, heavy weight, each",,,FALSE,C5883918,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9800,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie",,,FALSE,C5764486,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20221001,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20221001,,,A=Not applicable as HCPCS priced under one methodology,,20221001,,YY,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L1831,"Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment",,,FALSE,C1314462,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9379,"Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994248,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A7502,"Replacement diaphragm/faceplate for tracheostoma valve, each",,,FALSE,C0918327,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7501-A7527,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2756,Eye glass case,,,FALSE,C1314655,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20070101,0,Z2=Undefined codes,C=Carrier judgment,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/L8685,"Implantable neurostimulator pulse generator, single array, rechargeable, includes extension",,,FALSE,C1619403,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8678-L8689,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9128,"Oncology; disease status; limited to multiple myeloma, systemic disease; smoldering, stage i (for use in a medicare-approved demonstration project)",,,FALSE,C1616329,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",,,FALSE,C3710526,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4426,"Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each",,,FALSE,C1314228,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4164,"Helicoll, per square centimeter",,,FALSE,C4067628,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20160101,0,O1E=Other drugs,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L0636,"Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, custom fabricated",,,FALSE,C1509048,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0628-L0640,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0278,"Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure)",,,FALSE,C1145151,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20080101,0,I4A=Imaging/procedure - heart including cardiac catheterization,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A0999,Unlisted ambulance service,,,FALSE,C0497769,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,19980101,0,O1A=Ambulance,D=Special coverage instructions apply,19870101,,,A=Not applicable as HCPCS priced under one methodology,2125|2120.1,,,,57=Other carrier priced,,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1039,Patients with a diagnosis of lumbar spine region infection at the time of the procedure,,,FALSE,C4746455,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/G9858,Patient enrolled in hospice,,,FALSE,C4316108,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3919,"Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",,,FALSE,C1617355,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A0110,"Non-emergency transportation and bus, intra or inter state carrier",,,FALSE,C0497716,http://purl.bioontology.org/ontology/STY/T057,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,19950101,0,O1A=Ambulance,I=Not payable by Medicare,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T057
http://purl.bioontology.org/ontology/HCPCS/J7329,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg",,,FALSE,C4746419,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7318-J7329,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8400,"Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given",,,FALSE,C4067433,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20160101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V5284,"Assistive listening device, personal fm/dm, ear level receiver",,,FALSE,C3534650,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5268-V5290,N=No maintenance for this code,20130101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862a7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G1000-G1028,Clinical Decision Support Mechanism,,,FALSE,C5228955,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4278,"Epieffect, per square centimeter",,,FALSE,C5884246,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/V5266,Battery for use in hearing device,,,FALSE,C0994315,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S3652,"Saliva test, hormone level; to assess preterm labor risk",,,FALSE,C0812824,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G9820,Documentation of a chlamydia screening test with proper follow-up,,,FALSE,C4316138,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A8003,"Helmet, protective, hard, custom fabricated, includes all components and accessories",,,FALSE,C1737742,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A8000-A8004,N=No maintenance for this code,20070101,0,D1E=Other DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,45=Customized DME items,,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2360,"Injection, orphenadrine citrate, up to 60 mg",,,FALSE,C0498944,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9098,"Injection, cytarabine liposome, 10 mg",,,FALSE,C1314427,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K0864,"Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more",,,FALSE,C1742221,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S8110,Peak expiratory flow rate (physician services),,,FALSE,C0812830,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8096-S8210,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G2083,"Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self-administration, includes 2 hours post-administration observation",,,FALSE,C5229074,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,M1B=Office visits - established,C=Carrier judgment,20200101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J9173,"Injection, durvalumab, 10 mg",,,FALSE,C4542695,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/T4539,"Incontinence product, diaper/brief, reusable, any size, each",,,FALSE,C1509121,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,M=Non-covered by Medicare,20050101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S5199,"Personal care item, nos, each",,,FALSE,C1314584,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5035-S5199,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/A4740,"Shunt accessory, for hemodialysis, any type, each",,,FALSE,C0497908,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0092-Q0092,Portable X-Ray Setup (CMS Temporary Codes),,,FALSE,C2729403,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/J7301,"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg",,,FALSE,C3669112,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7294-J7307,N=No maintenance for this code,20170101,0,P6C=Minor procedures - other (Medicare fee schedule),S=Non-covered by Medicare statute,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862(a)(1),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2126,Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period,,,FALSE,C5229095,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4395,"Ostomy deodorant for use in ostomy pouch, solid, per tablet",,,FALSE,C0499375,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4672,"Drainage extension line, sterile, for dialysis, each",,,FALSE,C1314239,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5810,"Addition, endoskeletal knee-shin system, single axis, manual lock",,,FALSE,C0499953,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2782,"Injection, avacincaptad pegol, 0.1 mg",,,FALSE,C5883976,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q0139,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis)",,,FALSE,C2729364,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0138-Q0249,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,20170101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4329,"Singlay, per square centimeter",,,FALSE,C5974406,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/V5283,"Assistive listening device, personal fm/dm neck, loop induction receiver",,,FALSE,C3534651,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5268-V5290,N=No maintenance for this code,20130101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20130101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862a7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A0420,"Ambulance waiting time (als or bls), one half (1/2) hour increments",,,FALSE,C0497765,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20140101,0,O1A=Ambulance,I=Not payable by Medicare,19950101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/C9088,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg",,,FALSE,C5574449,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20220101,0,O1E=Other drugs,D=Special coverage instructions apply,20220101,,,A=Not applicable as HCPCS priced under one methodology,,20220101,,YY,53=Statute,,1833(t),F=Ambulatory surgical center (facility usage for surgical services)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1780,"Lens, intraocular (new technology)",,,FALSE,C0993767,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9430,Pharmacy compounding and dispensing services,,,FALSE,C1145340,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6120,"Below elbow, molded double wall split socket, step-up hinges, half cuff",,,FALSE,C0499998,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6100-L6130,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9101,"Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; post r1 or r2 resection (with or without neoadjuvant therapy) with no evidence of disease progression, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1617854,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9140,"Frontier extended stay clinic demonstration; for a patient stay in a clinic approved for the cms demonstration project; the following measures should be present: the stay must be equal to or greater than 4 hours; weather or other conditions must prevent transfer or the case falls into a category of monitoring and observation cases that are permitted by the rules of the demonstration; there is a maximum frontier extended stay clinic (fesc) visit of 48 hours, except in the case when weather or other conditions prevent transfer; payment is made on each period up to 4 hours, after the first 4 hours",,,FALSE,C1971332,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20071001,0,Z2=Undefined codes,C=Carrier judgment,20071001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9148,National committee for quality assurance - level 1 medical home,,,FALSE,C3710290,http://purl.bioontology.org/ontology/STY/T093,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9148-G9153,N=No maintenance for this code,20110701,0,Z2=Undefined codes,C=Carrier judgment,20110701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T093
http://purl.bioontology.org/ontology/HCPCS/A4456,"Adhesive remover, wipes, any type, each",,,FALSE,C0725046,http://purl.bioontology.org/ontology/STY/T167,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20100101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20100101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T167
http://purl.bioontology.org/ontology/HCPCS/L6890,"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment",,,FALSE,C0500102,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6890-L6915,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L8688,"Implantable neurostimulator pulse generator, dual array, non-rechargeable, includes extension",,,FALSE,C1618384,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8678-L8689,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0112,All potassium hydroxide (koh) preparations,,,FALSE,C0500272,http://purl.bioontology.org/ontology/STY/T197|http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0111-Q0115,N=No maintenance for this code,19940101,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,19940101,,120=Mycology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T197|http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/J0613,"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg",,,FALSE,C5848533,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240401,0,O1E=Other drugs,D=Special coverage instructions apply,20230401,,,A=Not applicable as HCPCS priced under one methodology,2049,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1093,"Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests",,,FALSE,C0498587,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1092-E1093,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9928,"Fda-approved anticoagulant not prescribed, reason not given",,,FALSE,C4542758,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4648,"Tissue marker, implantable, any type, each",,,FALSE,C1971387,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4648-A4652,N=No maintenance for this code,20080101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9840,Ras (kras and nras) gene mutation testing performed before initiation of anti-egfr moab,,,FALSE,C4542726,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6510,"Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated",,,FALSE,C1144980,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9582,"Door to puncture time of greater than 90 minutes, no reason given",,,FALSE,C4067516,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/K0012,Lightweight portable motorized/power wheelchair,,,FALSE,C0499173,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,19970505,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/STY/T001,Organism,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T072,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T005,Virus,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T001,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T002,Plant,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T204,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T007,Bacterium,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T001,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T004,Fungus,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T204,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T008,Animal,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T204,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/HCPCS/Q4250,"Amnioamp-mp, per square centimeter",,,FALSE,C5439793,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20201001,0,O1E=Other drugs,C=Carrier judgment,20201001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0776-E0791,Infusion Supplies,,,FALSE,C0812964,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9390,"Injection, vinorelbine tartrate, 10 mg",,,FALSE,C0499160,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19960101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1006,"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction",,,FALSE,C1314320,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4707,"Bicarbonate concentrate, powder, for hemodialysis, per packet",,,FALSE,C0993683,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9189,Beta-blocker therapy prescribed or currently being taken,,,FALSE,C3710293,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0529,"In-home respite care, 4-hour unit, for use in cmmi model",,,FALSE,C5974162,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0519-G0531,N=No maintenance for this code,20240701,0,Z2=Undefined codes,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1004,"Documentation of medical reason for not screening for tb or interpreting results (i.e., patient positive for tb and documentation of past treatment; patient who has recently completed a course of anti-tb therapy)",,,FALSE,C4746432,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9922,Safety concerns screen provided and if positive then documented mitigation recommendations,,,FALSE,C4542752,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9557,"Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found",,,FALSE,C4067502,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L1100,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather",,,FALSE,C0499466,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1000-L1120,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1150,Current or prior left ventricular ejection fraction (lvef) less than or equal to 40% or documentation of moderately or severely depressed left ventricular systolic function,,,FALSE,C5771665,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q4336,"Artacent c, per square centimeter",,,FALSE,C5974413,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20241001,0,O1E=Other drugs,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7499-L7600,Prosthetic Procedures - Upper Limb - Other/Repairs,,,FALSE,C5228985,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9086,"Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t1-4, n1-2, m0 with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1617342,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9730,Patient refused to participate,,,FALSE,C4284598,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9418,Primary non-small cell lung cancer lung biopsy and cytology specimen report documents classification into specific histologic type following iaslc guidance or classified as nsclc-nos with an explanation,,,FALSE,C3871324,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q9998,"Injection, ustekinumab-aekn (selarsdi), 1 mg",,,FALSE,C5974447,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9982-Q9999,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9979,"Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: an expanded problem focused history; an expanded problem focused examination; straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of low to moderate severity. typically, 20 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology",,,FALSE,C4722447,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20181001,0,M1A=Office visits - new,C=Carrier judgment,20181001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J2501,"Injection, paricalcitol, 1 mcg",,,FALSE,C1145201,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20030101,0,O1E=Other drugs,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3450,"Heel, sach cushion type",,,FALSE,C0499704,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3430-L3485,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7608,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram",,,FALSE,C0520193,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20080101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4252,"Vendaje, per square centimeter",,,FALSE,C5574637,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20211001,0,O1E=Other drugs,C=Carrier judgment,20211001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E1200,"Amputee wheelchair, fixed full length arms, swing away detachable footrest",,,FALSE,C0498600,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1170-E1200,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4636,"Replacement, handgrip, cane, crutch, or walker, each",,,FALSE,C0497890,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4630-A4640,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19910101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2507,"Injection, pegloticase, 1 mg",,,FALSE,C3248391,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20120101,0,O1E=Other drugs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,20120101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0137,"Didanosine (ddi), 25 mg",,,FALSE,C1314499,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C8925,"Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, real time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report",,,FALSE,C1971560,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8921-C8930,N=No maintenance for this code,20080101,0,I3C=Echography/ultrasonography - heart,D=Special coverage instructions apply,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G0410,"Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes",,,FALSE,C2368410,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0409-G0411,N=No maintenance for this code,20240101,0,P6D=Minor procedures - other (Non-Medicare fee schedule),C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/T2101,"Human breast milk processing, storage and distribution only",,,FALSE,C1314648,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20040101,0,Z2=Undefined codes,I=Not payable by Medicare,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1338,Patients who had follow-up assessment 30 to 180 days after the index assessment who did not demonstrate positive improvement or maintenance of functioning scores during the performance period,,,FALSE,C5884201,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",,,FALSE,C4067615,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20160101,0,O1E=Other drugs,D=Special coverage instructions apply,20160101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,,,,51=Drugs,,,1=Medical care|G=Immunosuppressive drugs,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1011,"Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair)",,,FALSE,C1145096,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20030101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C8920,"Magnetic resonance angiography without contrast followed by with contrast, pelvis",,,FALSE,C1314283,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8900-C8920,N=No maintenance for this code,20030701,0,I2D=Advanced imaging - MRI/MRA: other,D=Special coverage instructions apply,20030701,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,430 BIPA,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/S9537,"Home therapy; hematopoietic hormone injection therapy (e.g., erythropoietin, g-csf, gm-csf); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994263,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9490-S9810,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0799,"Fda approved prescription drug, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv), not otherwise classified",,,FALSE,C5884038,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240102,0,O1E=Other drugs,D=Special coverage instructions apply,20240102,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,1861(ddd),1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1230,"Patient has a reactive hcv antibody test and does not have a follow up hcv viral test, or patient has a reactive hcv antibody test and has a follow up hcv viral test that detects hcv viremia and is not referred to a clinician who treats hcv infection within 1 month and does not have hcv treatment initiated within 3 months of the reactive hcv antibody test, reason not given",,,FALSE,C5884135,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4640,Replacement pad for use with medically necessary alternating pressure pad owned by patient,,,FALSE,C0182383,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4630-A4640,N=No maintenance for this code,19910101,0,D1E=Other DME,D=Special coverage instructions apply,19910101,60-9,,A=Not applicable as HCPCS priced under one methodology,4107.6,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1028,Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained,,,FALSE,C4746448,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1006,"Disease activity not assessed, reason not given",,,FALSE,C4746434,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/H2022,"Community-based wrap-around services, per diem",,,FALSE,C1314395,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L2861,"Addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each",,,FALSE,C2729291,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2750-L2999,N=No maintenance for this code,20100101,0,D1F=Prosthetic/Orthotic devices,I=Not payable by Medicare,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9307,"No return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure",,,FALSE,C3710408,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L0700,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type)",,,FALSE,C0499433,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0700-L0720,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19840101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8500-L8515,"Prosthetic Implants - Larynx, Tracheoesophageal",,,FALSE,C3710259,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L8500-L9900,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1169,"Documentation of medical reason(s) for not administering influenza vaccine (e.g., prior anaphylaxis due to the influenza vaccine)",,,FALSE,C5771677,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E1085,"Hemi-wheelchair, fixed full length arms, swing away detachable foot rests",,,FALSE,C0498579,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1083-E1086,N=No maintenance for this code,20010401,0,D1D=Wheelchairs,I=Not payable by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,K0002,,http://purl.bioontology.org/ontology/HCPCS/K0002,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4642,"Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries",,,FALSE,C0497894,http://purl.bioontology.org/ontology/STY/T116|http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4641-A4642,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,19950101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T116|http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/G0066,Clinical social work mips specialty set,,,FALSE,C5574491,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4363,"Ostomy clamp, any type, replacement only, each",,,FALSE,C1616291,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)","0124=PUBLICATION 100.2, CHAPTER 15, SS 120.",,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0179,"Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care",,,FALSE,C0993884,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20200301,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9706,"Low (or very low) risk of recurrence, prostate cancer",,,FALSE,C4316225,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1320,Patients who screened positive for at least 1 of the 5 hrsns,,,FALSE,C5884185,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L3030,"Foot, insert, removable, formed to patient foot, each",,,FALSE,C0499643,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3000-L3031,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",,,FALSE,C1314248,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6413-A6461,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0294,"Noncovered procedure(s) using either no anesthesia or local anesthesia only, in a medicare qualifying clinical trial, per day",,,FALSE,C1145162,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20030101,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0109=PAYMENT IS FOR HOSPITAL OUTPATIENT ONLY; NOT PAYABLE UNDER THE PHYSICIAN FEE SCHEDULE.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1160,Patient had anaphylaxis due to the meningococcal vaccine any time on or before the patient's 13th birthday,,,FALSE,C5771671,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A9604,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries",,,FALSE,C2729457,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,57=Other carrier priced,,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/T1005,"Respite care services, up to 15 minutes",,,FALSE,C0994279,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5336-V5336,Repair/Modification,,,FALSE,C4316300,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20V5000-V5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2369,"Power wheelchair component, drive wheel gear box, replacement only",,,FALSE,C1508923,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20160701,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4234,"Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each",,,FALSE,C1617881,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4233-A4236,N=No maintenance for this code,20160101,0,D1E=Other DME,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1171,Patient received at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period,,,FALSE,C5771679,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J9370,"Vincristine sulfate, 1 mg",,,FALSE,C0499157,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,19970101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5030-V5060,Monaural Hearing Aid,,,FALSE,C2093281,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20V5000-V5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9976,"Lodging, per diem, not otherwise classified",,,FALSE,C1509099,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9900-S9999,N=No maintenance for this code,20040401,0,Z2=Undefined codes,I=Not payable by Medicare,20040401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9286,Antibiotic regimen prescribed within 10 days after onset of symptoms,,,FALSE,C4067436,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J3303,"Injection, triamcinolone hexacetonide, per 5 mg",,,FALSE,C0499016,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19910101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9812,"Patient died including all deaths occurring during the hospitalization in which the operation was performed, even if after 30 days, and those deaths occurring after discharge from the hospital, but within 30 days of the procedure",,,FALSE,C4316144,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9656,Patient transferred directly from anesthetizing location to pacu or other non-icu location,,,FALSE,C4067573,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4465,Non-elastic binder for extremity,,,FALSE,C0497857,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,19950101,0,D1A=Medical/surgical supplies,C=Carrier judgment,19940101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0432-G0435,Laboratory Screening,,,FALSE,C4542589,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/J1823,"Injection, inebilizumab-cdon, 1 mg",,,FALSE,C5439743,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20210101,0,O1E=Other drugs,C=Carrier judgment,20210101,,,A=Not applicable as HCPCS priced under one methodology,,20210101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A7007,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor",,,FALSE,C0499303,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20000101,0,D1E=Other DME,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9589,"Instillation, hexaminolevulinate hydrochloride, 100 mg",,,FALSE,C4746281,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20190101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K0851,"Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",,,FALSE,C1741412,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J3090,"Injection, tedizolid phosphate, 1 mg",,,FALSE,C3871257,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9553,"Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries",,,FALSE,C1620971,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/B4159,"Enteral formula, for pediatrics, nutritionally complete soy based with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit",,,FALSE,C1508846,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4100-B4162,N=No maintenance for this code,20050101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,20050101,65-10,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/K0105,"Iv hanger, each",,,FALSE,C0181391,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20000101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9883,"Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 16-18 under the mdpp expanded model (em). an ongoing maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 13 through 24 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary maintained at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at an ongoing maintenance session in months 16-18",,,FALSE,C4746396,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180401,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20180401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0552,"Supply of digital mental health treatment device and initial education and onboarding, per course of treatment that augments a behavioral therapy plan",,,FALSE,C5974185,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7190,"Factor viii (antihemophilic factor, human) per i.u.",,,FALSE,C4520835,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,19990101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K0880,"Power wheelchair, group 4 very heavy duty, single power option, sling/solid seat/back, patient weight 451 to 600 pounds",,,FALSE,C1742222,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H2015,"Comprehensive community support services, per 15 minutes",,,FALSE,C1314388,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A0431,"Ambulance service, conventional air services, transport, one way (rotary wing)",,,FALSE,C0918296,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20010101,0,O1A=Ambulance,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9980,"Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a detailed history; a detailed examination; medical decision making of low complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate severity. typically, 30 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology",,,FALSE,C4722647,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20181001,0,M1A=Office visits - new,C=Carrier judgment,20181001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J1750,"Injection, iron dextran, 50 mg",,,FALSE,C0812737,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20090101,0,O1E=Other drugs,D=Special coverage instructions apply,20051231,,,A=Not applicable as HCPCS priced under one methodology,2049.5,20090101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4325,"Acapatch, per square centimeter",,,FALSE,C5974402,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L3207,"Orthopedic shoe, hightop with supinator or pronator, junior",,,FALSE,C0499660,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q2042,"Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose",,,FALSE,C4724150,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",,,FALSE,C0812617,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5505,"Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed",,,FALSE,C0499851,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5500-L5505,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1300-L1499,Other Scoliosis Procedures,,,FALSE,C0813020,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20L0100-L4999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M0076,Prolotherapy,,,FALSE,C0500223,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,19960101,0,Y2=Other - Non-Medicare fee schedule,M=Non-covered by Medicare,19860101,35-13,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2182,"Injection, mepolizumab, 1 mg",,,FALSE,C4284569,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,20170101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9594,Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider,,,FALSE,C5551248,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G2151,"Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care",,,FALSE,C5229113,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0755,Electronic salivary reflex stimulator (intra-oral/non-invasive),,,FALSE,C0498510,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,19950401,0,Z2=Undefined codes,C=Carrier judgment,19900101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5301-L5341,Prosthetic Procedures - Endoskeletal,,,FALSE,C5228974,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7331,"Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg",,,FALSE,C5229166,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7330-J7402,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0765,"Fda approved nerve stimulator, with replaceable batteries, for treatment of nausea and vomiting",,,FALSE,C0918996,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,N=No maintenance for this code,20100101,0,D1E=Other DME,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A5122,"Skin barrier; solid, 8 x 8 or equivalent, each",,,FALSE,C0497961,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5102-A5200,N=No maintenance for this code,19900101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9427,Improvement in median time from ed arrival to initial ed oral or parenteral pain medication administration not performed for ed admitted patients,,,FALSE,C3871329,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8670-L8670,Prosthetic Implants - Vascular,,,FALSE,C4542646,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L8500-L9900,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6254,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",,,FALSE,C0520062,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/K0884,"Power wheelchair, group 4 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds",,,FALSE,C1741954,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q3031-Q3031,Skin Test (CMS Temporary Codes),,,FALSE,C2729411,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/M1326,Patients with a diagnosis of hypotony,,,FALSE,C5884191,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9926,"Safety concerns screening positive screen is without provision of mitigation recommendations, including but not limited to referral to other resources",,,FALSE,C4542756,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9993,Patient was provided palliative care services any time during the measurement period,,,FALSE,C5552822,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)",,,FALSE,C0497788,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,20170101,0,D1E=Other DME,C=Carrier judgment,19970101,,,A=Not applicable as HCPCS priced under one methodology,,,,,34=DME supplies (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1176,Patient did not receive two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the patient's 50th birthday before or during the measurement period,,,FALSE,C5974307,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E1150,"Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests",,,FALSE,C0498592,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1130-E1161,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0148,"Walker, heavy duty, without wheels, rigid or folding, any type, each",,,FALSE,C0918985,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0130-E0155,N=No maintenance for this code,20010101,0,D1E=Other DME,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2613,"Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware",,,FALSE,C1508937,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2601-E2621,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2211,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens",,,FALSE,C0500346,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9488,"Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 25 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology",,,FALSE,C4316251,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20160401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0206=THIS SERVICE IS PART OF A DEMONSTRATION PROJECT.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J1652,"Injection, fondaparinux sodium, 0.5 mg",,,FALSE,C1145196,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20030101,0,O1E=Other drugs,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6670,"Upper extremity addition, hook to hand, cable adapter",,,FALSE,C0500047,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9539,Intent for potential removal at time of placement,,,FALSE,C4067488,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0160,"Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, each 15 minutes",,,FALSE,C2958942,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20110101,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E1520,Heparin infusion pump for hemodialysis,,,FALSE,C0498651,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9513,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie",,,FALSE,C4746280,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,D=Special coverage instructions apply,20190101,153.60,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,57=Other carrier priced,,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L0113,"Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment",,,FALSE,C2368493,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0112-L0174,N=No maintenance for this code,20090101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V5008,Hearing screening,,,FALSE,C4040712,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5008-V5020,N=No maintenance for this code,19950101,0,O1F=Hearing and speech services,M=Non-covered by Medicare,19900101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2320,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/M1116,The start of an episode of care documented in the medical record,,,FALSE,C5203743,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9111,"Oncology; disease status; head and neck cancer, limited to cancers of oral cavity, pharynx and larynx with squamous cell as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)",,,FALSE,C1616836,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1643,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units",,,FALSE,C5771619,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,2049,20240101,,YY,51=Drugs,,,1=Medical care|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9029,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose",,,FALSE,C5974282,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20240101,0,O1D=Chemotherapy,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1068,Adults who are not ambulatory,,,FALSE,C4746474,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/C2618,"Probe/needle, cryoablation",,,FALSE,C3710273,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2617-C2631,N=No maintenance for this code,20140101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9351,More than one ct scan of the paranasal sinuses ordered or received within 90 days after diagnosis,,,FALSE,C3710441,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3070-L3100,"Arch Support, Non-removable, Attached to Shoe",,,FALSE,C0813038,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3000-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9903,Patient screened for tobacco use and identified as a tobacco non-user,,,FALSE,C4542737,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9823,Endometrial sampling or hysteroscopy with biopsy and results documented during the 12 months prior to the index date (exclusive of the index date) of the endometrial ablation,,,FALSE,C4316135,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/V2311,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens",,,FALSE,C0500368,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9007,"Coordinated care fee, scheduled team conference",,,FALSE,C0919034,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9001-G9012,N=No maintenance for this code,20001001,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20001001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0097=FOR INSTRUCTIONS RELATED TO THE MEDICARE COORDINATED CARE DEMONSTRATION (MCCD) SEF CR1050, 1116 AND 1118.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0452-G0465,Temporary Procedures/Professional Services - Miscellaneous Services,,,FALSE,C4542591,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L5841,"Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control",,,FALSE,C5974302,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,20240401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0182,"Procarbazine hydrochloride, oral, 50 mg",,,FALSE,C0994065,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20140101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G0168,Wound closure utilizing tissue adhesive(s) only,,,FALSE,C0812726,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20000101,0,P6C=Minor procedures - other (Medicare fee schedule),C=Carrier judgment,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7211,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u.",,,FALSE,C4542793,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,20180101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5859,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)",,,FALSE,C3534672,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0138-Q0249,Drugs (CMS Temporary Codes),,,FALSE,C2729404,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/L8509,"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type",,,FALSE,C0993989,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8500-L8515,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A7021,"Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter)",,,FALSE,C5974087,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20241001,0,D1E=Other DME,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S8422,"Gradient pressure aid (sleeve), custom made, medium weight",,,FALSE,C0994182,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9139,"Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; extent of disease unknown, staging in progress, not listed (for use in a medicare-approved demonstration project)",,,FALSE,C1971331,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E1699,"Dialysis equipment, not otherwise specified",,,FALSE,C0498668,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7170,"Injection, emicizumab-kxwh, 0.5 mg",,,FALSE,C4746414,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0199,"Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs",,,FALSE,C0994069,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0049,With maintenance hemodialysis (in-center and home hd) for the complete reporting month,,,FALSE,C5574474,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0027-G0067,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4213,"Syringe, sterile, 20 cc or greater, each",,,FALSE,C0497784,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,20070101,0,D1A=Medical/surgical supplies,C=Carrier judgment,19850101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9273,Blood pressure has a systolic value of < 140 and a diastolic value of < 90,,,FALSE,C3710377,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1369,Quality care in mental health and substance use disorders mips value pathway,,,FALSE,C5884228,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L8670,"Vascular graft material, synthetic, implant",,,FALSE,C0500213,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8670-L8670,N=No maintenance for this code,19971001,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19920101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",,,FALSE,C3710529,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S3842,Genetic testing for von hippel-lindau disease,,,FALSE,C1314538,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S3800-S3870,N=No maintenance for this code,20030701,0,Z2=Undefined codes,I=Not payable by Medicare,20030701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/P9036,"Platelets, pheresis, irradiated, each unit",,,FALSE,C0919116,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20010101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2455,,,,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/G8916,"Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time",,,FALSE,C3534785,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120401,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L2500,"Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring",,,FALSE,C0499600,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2500-L2550,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4349,"Male external catheter, with or without adhesive, disposable, each",,,FALSE,C1508780,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,20050101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20050101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0468,"Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions",,,FALSE,C5974122,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20240401,0,D1E=Other DME,D=Special coverage instructions apply,20240401,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,31=Frequently serviced DME (price subject to floors and ceilings),"0137=PUBLICATION 100-03, CHAPTER 1, SECTION 280.1 (100.03, 1, 280.1).",,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9457,Patient did not undergo abdominal imaging and did not have a documented reason for not undergoing abdominal imaging in the submission period,,,FALSE,C4746350,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G2006,"Brief (20 minutes) in-home visit for an existing patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)",,,FALSE,C5229042,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0616,"Implantable cardiac event recorder with memory, activator and programmer",,,FALSE,C0812700,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0607-E0620,N=No maintenance for this code,20050401,0,D1E=Other DME,C=Carrier judgment,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9553,Prior thyroid disease diagnosis,,,FALSE,C4067499,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A6587,"Gradient compression wrap with adjustable straps, foot, each",,,FALSE,C5883928,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,C=Change in long description of procedure or modifier code,20250401,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2616-C2616,Brachytherapy Source,,,FALSE,C0179405,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20C1000-C9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E2202,"Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches",,,FALSE,C1314334,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/DA,Oral health assessment by a licensed health professional other than a dentist,,,FALSE,C2959338,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20110101,,,C=Carrier judgment,20110101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0850,"Injection, cytomegalovirus immune globulin intravenous (human), per vial",,,FALSE,C0498819,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L2050,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated",,,FALSE,C0499542,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2040-L2090,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/K0852,"Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds",,,FALSE,C1738027,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6535,"Gradient compression stocking, thigh length, 40 mmhg or greater, each",,,FALSE,C0500156,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2778,"Injection, ranibizumab, 0.1 mg",,,FALSE,C1971343,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20080101,0,O1E=Other drugs,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0242,"Bath tub rail, floor base",,,FALSE,C0498406,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0240-E0248,N=No maintenance for this code,19960101,0,D1E=Other DME,M=Non-covered by Medicare,19860101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2100.1,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4102,"Oasis wound matrix, per square centimeter",,,FALSE,C2959304,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J9268,"Injection, pentostatin, 10 mg",,,FALSE,C0499147,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19940101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E2225,"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each",,,FALSE,C1616302,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",,,FALSE,C0497840,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4356-A4360,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6240,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce",,,FALSE,C0520049,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A2028,"Micromatrix flex, per mg",,,FALSE,C5974075,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20241001,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J0515,"Injection, benztropine mesylate, per 1 mg",,,FALSE,C0498774,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0008-G0013,Vaccine Administration,,,FALSE,C2368628,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20G0000-G9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0459,"Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy",,,FALSE,C3710285,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0452-G0465,N=No maintenance for this code,20120802,0,M5D=Specialist - other,C=Carrier judgment,20120802,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S0400,Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s),,,FALSE,C0994083,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/J0173,"Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg",,,FALSE,C5771601,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,2049,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/V2700,"Balance lens, per lens",,,FALSE,C0500408,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J9039,"Injection, blinatumomab, 1 microgram",,,FALSE,C4067617,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20160101,0,O1D=Chemotherapy,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4335,"Amnioplast 2, per square centimeter",,,FALSE,C5974412,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20241001,0,O1E=Other drugs,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9067,"Oncology; disease status; limited to non-small cell lung cancer; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)",,,FALSE,C1618879,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/K0840,"Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more",,,FALSE,C1738026,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1128,"Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record",,,FALSE,C5203710,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4361,"Ostomy faceplate, each",,,FALSE,C0497842,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L8604,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1 ml, includes shipping and necessary supplies",,,FALSE,C2368494,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8603-L8607,N=No maintenance for this code,20090101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20090101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C9779,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed",,,FALSE,C5574454,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20240101,0,P8D=Endoscopy - colonoscopy,D=Special coverage instructions apply,20211001,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),9=Other medical items or services|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/L6810,"Addition to terminal device, precision pinch device",,,FALSE,C0500085,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6700-L6882,N=No maintenance for this code,20070101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19880101,,,A=Not applicable as HCPCS priced under one methodology,2133,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G6014,"Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 mev or greater",,,FALSE,C0373378,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G6003-G6017,N=No maintenance for this code,20150101,0,P7A=Oncology - radiation therapy,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0171,"Commode chair with integrated seat lift mechanism, non-electric, any type",,,FALSE,C1619417,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0163-E0175,N=No maintenance for this code,20060101,0,D1E=Other DME,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0622,"Physical exam for college, new or established patient (list separately in addition to appropriate evaluation and management code)",,,FALSE,C0994097,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0601-S0622,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4294,"Amnio quad-core, per square centimeter",,,FALSE,C5884262,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Q4206,"Fluid flow or fluid gf, 1 cc",,,FALSE,C5229198,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/V2201,"Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens",,,FALSE,C0500336,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4690,"Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each",,,FALSE,C0180409,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A7035,Headgear used with positive airway pressure device,,,FALSE,C0499315,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1043,Functional status was not measured by the oswestry disability index (odi version 2.1a) at one year (9 to 15 months) postoperatively,,,FALSE,C5229186,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,Durable Medical Equipment,,,FALSE,C0013314,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20E0100-E9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q2034,"Influenza virus vaccine, split virus, for intramuscular use (agriflu)",,,FALSE,C3534669,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,N=No maintenance for this code,20140101,0,O1G=Immunizations/Vaccinations,D=Special coverage instructions apply,20120701,,,A=Not applicable as HCPCS priced under one methodology,2049.4,,,,54=Vaccinations,,,"V=Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4310,"Procenta, per 100 mg",,,FALSE,C5974387,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9611,"Order for anti-platelet agents was not documented in the patient's record, reason not given",,,FALSE,C4067533,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C5275,"Application of low cost 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",,,FALSE,C3687797,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20140101,0,P5A=Ambulatory procedures - skin,D=Special coverage instructions apply,20140101,,,A=Not applicable as HCPCS priced under one methodology,,20140101,,YY,53=Statute,,1833(t),F=Ambulatory surgical center (facility usage for surgical services)|2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0672,"Segmental gradient pressure pneumatic appliance, full arm",,,FALSE,C0498495,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0650-E0677,N=No maintenance for this code,19950101,0,D1E=Other DME,D=Special coverage instructions apply,19950101,60-16,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S8121,"Oxygen contents, liquid, 1 unit equals 1 pound",,,FALSE,C1314598,http://purl.bioontology.org/ontology/STY/T167,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8096-S8210,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T167
http://purl.bioontology.org/ontology/HCPCS/L0174,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf",,,FALSE,C3710470,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0112-L0174,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3973,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment",,,FALSE,C1617866,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3960-L3973,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1606,"Adapter, single-use (i.e. disposable), for attaching ultrasound system to upper gastrointestinal endoscope",,,FALSE,C5974092,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1052-C1715,N=No maintenance for this code,20240701,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20240701,,,A=Not applicable as HCPCS priced under one methodology,,20240701,,YY,53=Statute,,1833(t),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6214,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing",,,FALSE,C0520038,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9481,"Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a problem focused history; a problem focused examination; and straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology",,,FALSE,C4316258,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20160401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",0206=THIS SERVICE IS PART OF A DEMONSTRATION PROJECT.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A6569,"Gradient compression garment, torso/shoulder, custom, each",,,FALSE,C5883911,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,Injection and Infusion,,,FALSE,C0596779,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9115,"Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic stage iii-iv; without evidence of progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1618885,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4459,"Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type",,,FALSE,C5979698,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,C=Change in long description of procedure or modifier code,20250401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9425,"Primary lung carcinoma resection report does not document pt category, pn category and for non-small cell lung cancer, histologic type (e.g., squamous cell carcinoma, adenocarcinoma)",,,FALSE,C4083277,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J9201,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",,,FALSE,C5229174,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20200101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19980101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/H0048,"Alcohol and/or other drug testing: collection and handling only, specimens other than blood",,,FALSE,C1145181,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G9845,Patient received anti-egfr monoclonal antibody therapy,,,FALSE,C4316117,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C1778,"Lead, neurostimulator (implantable)",,,FALSE,C0993765,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q9996,"Injection, ustekinumab-ttwe (pyzchiva), subcutaneous, 1 mg",,,FALSE,C5974445,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9982-Q9999,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S8037,Magnetic resonance cholangiopancreatography (mrcp),,,FALSE,C0994163,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8030-S8092,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A6257,"Transparent film, sterile, 16 sq. in. or less, each dressing",,,FALSE,C0520065,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T1031,"Nursing care, in the home, by licensed practical nurse, per diem",,,FALSE,C1145373,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L0859,"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material",,,FALSE,C1619398,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0810-L0861,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0891,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)",,,FALSE,C5771609,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230101,0,O1E=Other drugs,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,2049,20230101,,YY,51=Drugs,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1267,"Injection, doripenem, 10 mg",,,FALSE,C2368480,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A5503,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe",,,FALSE,C0520235,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5500-A5514,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2134,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,J=Diabetic shoes (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L7191,"Electronic elbow, child, variety village or equal, myoelectronically controlled",,,FALSE,C0500135,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7170-L7191,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2172,All inclusive payment for services related to highly coordinated and integrated opioid use disorder (oud) treatment services furnished for the demonstration project,,,FALSE,C5574502,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210401,0,Z2=Undefined codes,C=Carrier judgment,20210401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V2102,"Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens",,,FALSE,C0500317,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2100-V2199,N=No maintenance for this code,19850101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J3358,"Ustekinumab, for intravenous injection, 1 mg",,,FALSE,C4542691,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,20180101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",Q9989,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2212,"Injection, methylnaltrexone, 0.1 mg",,,FALSE,C3534679,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A2024,"Resolve matrix or xenopatch, per square centimeter",,,FALSE,C5974072,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20241001,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20231001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E0462,Rocking bed with or without side rails,,,FALSE,C0179282,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,19960101,0,D1B=Hospital beds,C=Carrier judgment,19900101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5668,"Addition to lower extremity, below knee, molded distal cushion",,,FALSE,C0499910,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1784,"Ocular device, intraoperative, detached retina",,,FALSE,C0993769,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9946,Back pain was not measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively,,,FALSE,C4542772,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0492,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone application",,,FALSE,C5771650,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20240101,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2144,Functional status measured by the oswestry disability index (odi version 2.1a) at three months (6-20 weeks) postoperatively was less than or equal to 22 or functional status measured by the odi version 2.1a within three months preoperatively and at three months (6-20 weeks) postoperatively demonstrated an improvement of 30 points or greater,,,FALSE,C5229106,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L8039,"Breast prosthesis, not otherwise specified",,,FALSE,C0178391,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8000-L8039,N=No maintenance for this code,19980101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19980101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6693,"Upper extremity addition, locking elbow, forearm counterbalance",,,FALSE,C0694979,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,20000101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19990101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9510,"Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries",,,FALSE,C0918336,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/J1720,"Injection, hydrocortisone sodium succinate, up to 100 mg",,,FALSE,C0498895,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0289,"Injection, amphotericin b liposome, 10 mg",,,FALSE,C1145188,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20030101,0,O1E=Other drugs,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1436,"Injection, etidronate disodium, per 300 mg",,,FALSE,C0498862,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L4080,"Replace metal bands kafo, proximal thigh",,,FALSE,C0499808,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4000-L4210,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9311,No surgical site infection,,,FALSE,C3710412,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E2210,"Wheelchair accessory, bearings, any type, replacement only, each",,,FALSE,C1619363,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9225,"Histrelin implant (vantas), 50 mg",,,FALSE,C1619411,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20080101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/T1033,"Services performed by a doula birth worker, per diem",,,FALSE,C5771727,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20221001,0,Z2=Undefined codes,I=Not payable by Medicare,20221001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9684,This code is for the onsite acute care treatment of a nursing facility resident for a uti; may only be billed once per day per beneficiary,,,FALSE,C4316240,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20161001,0,Z2=Undefined codes,C=Carrier judgment,20161001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9001,"Coordinated care fee, initial rate",,,FALSE,C0919028,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9001-G9012,N=No maintenance for this code,20001001,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20001001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0097=FOR INSTRUCTIONS RELATED TO THE MEDICARE COORDINATED CARE DEMONSTRATION (MCCD) SEF CR1050, 1116 AND 1118.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9925,"Safety concerns screening not provided, reason not otherwise specified",,,FALSE,C4542755,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L8030,"Breast prosthesis, silicone or equal, without integral adhesive",,,FALSE,C2729355,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8000-L8039,N=No maintenance for this code,20100101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19890101,,,A=Not applicable as HCPCS priced under one methodology,2130 A,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2188,Patients with clinical indications for imaging of the head: new or change in headache above 50 years of age,,,FALSE,C5439701,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S8185,Flutter device,,,FALSE,C0994172,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8096-S8210,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H2035,"Alcohol and/or other drug treatment program, per hour",,,FALSE,C1314408,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/K0015,"Detachable, non-adjustable height armrest, replacement only, each",,,FALSE,C0499176,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20160701,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/V5255,"Hearing aid, digital, monaural, itc",,,FALSE,C0994304,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1826,"Generator, neurostimulator (implantable), includes closed feedback loop leads and all implantable components, with rechargeable battery and charging system",,,FALSE,C5771512,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20230101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,53=Statute,,1833(t),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S8265,Haberman feeder for cleft lip/palate,,,FALSE,C1145333,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1187,Patients with a diagnosis of end stage renal disease (esrd),,,FALSE,C5771693,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J0695,"Injection, ceftolozane 50 mg and tazobactam 25 mg",,,FALSE,C4067407,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9577,"Injection, gadobenate dimeglumine (multihance), per ml",,,FALSE,C1971407,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20080101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V2730,"Special base curve, glass or plastic, per lens",,,FALSE,C0500412,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A6586,"Gradient compression wrap with adjustable straps, full leg, each",,,FALSE,C5883927,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,C=Change in long description of procedure or modifier code,20250401,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A6541,"Gradient compression stocking, waist length, 40 mmhg or greater, each",,,FALSE,C0500161,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V2314,"Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens",,,FALSE,C0500371,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,N=No maintenance for this code,19850101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A9277,"Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system",,,FALSE,C1971397,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20230101,0,Z2=Undefined codes,S=Non-covered by Medicare statute,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1861(n),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0081,"Injection, piperacillin sodium, 500 mg",,,FALSE,C0812794,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/T2022,"Case management, per month",,,FALSE,C1314622,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J1440,"Fecal microbiota, live - jslm, 1 ml",,,FALSE,C5884286,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230701,0,T2D=Other tests - other,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20230701,,YY,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",,,FALSE,C0497843,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,19900101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19850101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A7040,One way chest drain valve,,,FALSE,C1508781,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A2018,"Permeaderm c, per square centimeter",,,FALSE,C5771501,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A2001-A4100,N=No maintenance for this code,20221001,0,P5A=Ambulatory procedures - skin,C=Carrier judgment,20221001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E1355,Stand/rack,,,FALSE,C0498630,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1352-E1406,N=No maintenance for this code,20090101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19860101,60-4,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0602,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis)",,,FALSE,C5974222,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4116,"Alloderm, per square centimeter",,,FALSE,C2959317,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20090701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J9015,"Injection, aldesleukin, per single use vial",,,FALSE,C0499102,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19960101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1408,"Patients who have germline brca testing completed before diagnosis of epithelial ovarian, fallopian tube, or primary peritoneal cancer",,,FALSE,C5974355,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1361,Suicide risk based on their clinician's evaluation or a clinician-rated tool,,,FALSE,C5849245,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/K0065,"Spoke protectors, each",,,FALSE,C0499224,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20000101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S8092,"Electron beam computed tomography (also known as ultrafast ct, cine ct)",,,FALSE,C0600352,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8030-S8092,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/L6028,"Partial hand including fingers, flexible or non-flexible interface, endoskeletal system, molded to patient model, for use without external power, not including inserts described by l6692",,,FALSE,C5979746,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6000-L6037,A=Add procedure or modifier code,20250401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T1029,"Comprehensive environmental lead investigation, not including laboratory analysis, per dwelling",,,FALSE,C1145371,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2629,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints)",,,FALSE,C0499787,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2626-E2633,N=No maintenance for this code,20120101,0,D1D=Wheelchairs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7799,"Noc drugs, other than inhalation drugs, administered through dme",,,FALSE,C0499097,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7699-J8499,N=No maintenance for this code,20020701,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,19930101,,,A=Not applicable as HCPCS priced under one methodology,2100.5,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E1830,"Dynamic adjustable toe extension and flexion device, includes soft interface material",,,FALSE,C0498678,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1800-E1841,N=No maintenance for this code,20250101,0,D1E=Other DME,C=Carrier judgment,19960101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",,,FALSE,C3710533,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3905-L3956,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0407,"Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth",,,FALSE,C2368407,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0406-G0408,N=No maintenance for this code,20120101,0,M6=Consultations,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,,,3=Consultation,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",,,FALSE,C3710540,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4350-L4631,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5270,"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot",,,FALSE,C0499837,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5250-L5270,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L6675,"Upper extremity addition, harness, (e.g., figure of eight type), single cable design",,,FALSE,C0500049,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C1770,"Imaging coil, magnetic resonance (insertable)",,,FALSE,C0993759,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0414,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami)",,,FALSE,C2368414,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0412-G0415,N=No maintenance for this code,20090101,0,P3D=Major procedure - orthopedic - other,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)","0155=MEDICARE DOES NOT RECOGNIZE CODES 27215, 27216, 27217 AND 27218 FOR 2009.",,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q0477,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only",,,FALSE,C4542802,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20180101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/MTHU000317,"HCPCS Level II National Modifiers, Obsolete",,,FALSE,C0919277,http://purl.bioontology.org/ontology/STY/T185,http://purl.bioontology.org/ontology/HCPCS/MTHU000318,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T185
http://purl.bioontology.org/ontology/HCPCS/MTHU000316,"HCPCS Level I Preferred Terms, Obsolete",,,FALSE,C5771743,http://purl.bioontology.org/ontology/STY/T170,http://www.w3.org/2002/07/owl#Thing,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/MTHU000318,HCPCS Modifiers,,,FALSE,C0851272,http://purl.bioontology.org/ontology/STY/T185,http://www.w3.org/2002/07/owl#Thing,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T185
http://purl.bioontology.org/ontology/HCPCS/MTHU000319,HCPCS Level II National Modifiers,,,FALSE,C0851273,http://purl.bioontology.org/ontology/STY/T185,http://purl.bioontology.org/ontology/HCPCS/MTHU000318,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T185
http://purl.bioontology.org/ontology/HCPCS/E0601,Continuous positive airway pressure (cpap) device,,,FALSE,C0180105,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0600-E0601,N=No maintenance for this code,20140101,0,D1E=Other DME,D=Special coverage instructions apply,19880101,60-17,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0185,"Injection, aprepitant, 1 mg",,,FALSE,C4722109,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9914,Patient initiated an anti-tnf agent,,,FALSE,C4542744,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/K0843,"Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds",,,FALSE,C1743174,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0618,"Apnea monitor, without recording feature",,,FALSE,C1145087,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0607-E0620,N=No maintenance for this code,20030101,0,D1E=Other DME,C=Carrier judgment,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0236,Pump for water circulating pad,,,FALSE,C0498401,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0200-E0239,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9791,Most recent tobacco status is tobacco free,,,FALSE,C4316162,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,,,FALSE,C1617831,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20060101,0,D1E=Other DME,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)","0121=SECTION 303(e)(2) OF THE MMA IMPLEMENTS A SUPPLYING FEE FOR IMMUNOSUPPRESSIVE DRUGS, ORAL ANTI-CANCER CHEMOTHERAPEUTIC DRUGS, AND ANTI-EMETIC DRUGS USED AS PART OF AN ANTI-CANCER CHEMOTHERAPEUTIC REGIMEN.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/S0354,"Treatment planning and care coordination management for cancer, established patient with a change of regimen",,,FALSE,C3534659,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20120401,0,Z2=Undefined codes,I=Not payable by Medicare,20120401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5661,"Addition to lower extremity, socket insert, multi-durometer symes",,,FALSE,C0499903,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5654-L5699,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9900-A9999,Miscellaneous Service Component,,,FALSE,C1971538,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A9000-A9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/E0370,Air pressure elevator for heel,,,FALSE,C0520107,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0250-E0373,N=No maintenance for this code,19980101,0,D1E=Other DME,C=Carrier judgment,19970101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0469,"Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device",,,FALSE,C5974123,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20241001,0,D1E=Other DME,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0328,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",,,FALSE,C1508969,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20040101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20040101,,400=Hematology|310=Routine chemistry,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,"0064=COVERAGE AND PAYMENT BASED ON BALANCED BUDGET ACT OF 1997 (G0101 - SEC 4102; G0104, G0105, G0106, G0107, G0120, G0121, G0122, G0128 - SEC 4104).",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C9358,"Dermal substitute, native, non-denatured collagen, fetal bovine origin (surgimend collagen matrix), per 0.5 square centimeters",,,FALSE,C2368664,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20140101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20080701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,621 MMA,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C1893,"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away",,,FALSE,C0993792,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H0021,Alcohol and/or drug training service (for staff and personnel not employed by providers),,,FALSE,C0919057,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/H2025,"Ongoing support to maintain employment, per 15 minutes",,,FALSE,C1314398,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J1595,"Injection, glatiramer acetate, 20 mg",,,FALSE,C1314415,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20040101,0,O1E=Other drugs,D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L8410,"Prosthetic sheath, above knee, each",,,FALSE,C0500170,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L8400-L8485,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2133,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2598,"Injection, vasopressin, 1 unit",,,FALSE,C5884074,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0132,"Injection, ganirelix acetate, 250 mcg",,,FALSE,C1145311,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L4040,"Replace molded thigh lacer, for custom fabricated orthosis only",,,FALSE,C0499802,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4000-L4210,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0676,"Intermittent limb compression device (includes all accessories), not otherwise specified",,,FALSE,C1737745,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0650-E0677,N=No maintenance for this code,20231001,0,Z2=Undefined codes,C=Carrier judgment,20070101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1944,"Injection, aripiprazole lauroxil, (aristada), 1 mg",,,FALSE,C5229159,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,20191001,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5702,"Replacement, socket, hip disarticulation, including hip joint, molded to patient model",,,FALSE,C0499934,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5700-L5703,N=No maintenance for this code,19940101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C7554,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent,,,FALSE,C5771567,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P8E=Endoscopy - cystoscopy,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G9090,"Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t1-2, n0, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1621001,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4355,"Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each",,,FALSE,C0497837,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7665,"Mannitol, administered through an inhaler, 5 mg",,,FALSE,C3248653,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20130101,0,O1E=Other drugs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0945,"Injection, brompheniramine maleate, per 10 mg",,,FALSE,C0498822,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0875,"Injection, dalbavancin, 5 mg",,,FALSE,C4049960,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,20160101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3031,"Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each",,,FALSE,C1314466,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3000-L3031,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0201,"Penile contracture device, manual, greater than 3 lbs traction force",,,FALSE,C5974448,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0200-E0239,A=Add procedure or modifier code,20250401,0,D1E=Other DME,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",,,FALSE,C0497997,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4164-B5200,N=No maintenance for this code,20020101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19880101,65-10,,A=Not applicable as HCPCS priced under one methodology,4450|2130,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/C7903,"Group psychotherapy service for diagnosis, evaluation, or treatment of a mental health or substance use disorder provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service",,,FALSE,C5883970,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20240101,0,M2A=Hospital visit - initial,D=Special coverage instructions apply,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1167,In hospice or using hospice services during the measurement period,,,FALSE,C5703407,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4232,"Syringe with needle for external insulin pump, sterile, 3 cc",,,FALSE,C0497792,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4206-A4232,N=No maintenance for this code,20030401,0,D1E=Other DME,I=Not payable by Medicare,19960101,60-14,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P2033,"Thymol turbidity, blood",,,FALSE,C0500233,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P2028-P2038,N=No maintenance for this code,19900101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,50-34,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/S0128,"Injection, follitropin beta, 75 iu",,,FALSE,C1145309,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20020401,0,Z2=Undefined codes,I=Not payable by Medicare,20020401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9890,"Bridge payment: a one-time payment for the first medicare diabetes prevention program (mdpp) core session, core maintenance session, or ongoing maintenance session furnished by an mdpp supplier to an mdpp beneficiary during months 1-24 of the mdpp expanded model (em) who has previously received mdpp services from a different mdpp supplier under the mdpp expanded model. a supplier may only receive one bridge payment per mdpp beneficiary",,,FALSE,C4746399,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180401,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,20180401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J3280,"Injection, thiethylperazine maleate, up to 10 mg",,,FALSE,C0499013,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9661,"Patients greater than or equal to 86 years of age who received a colonoscopy for an assessment of signs/symptoms of gi tract illness, and/or because the patient meets high risk criteria, and/or to follow-up on previously diagnosed advanced lesions",,,FALSE,C4067578,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9830,Her-2/neu positive,,,FALSE,C4316129,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5610-L5617,Prosthetic Procedures - Additions to Lower Extremity,,,FALSE,C0813077,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L5000-L5999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9306,"Injection, pertuzumab, 1 mg",,,FALSE,C3710462,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20140101,0,O1D=Chemotherapy,C=Carrier judgment,20140101,,,A=Not applicable as HCPCS priced under one methodology,,20140101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1050,"Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests",,,FALSE,C0498572,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1050-E1070,N=No maintenance for this code,19840101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9061,"Home administration of aerosolized drug therapy (e.g., pentamidine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0919218,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E2361,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat)",,,FALSE,C1314359,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A7032,"Cushion for use on nasal mask interface, replacement only, each",,,FALSE,C1144987,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20060101,0,D1E=Other DME,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7506,"Arthrodesis, interphalangeal joints, with or without internal fixation",,,FALSE,C0187610,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P5B=Ambulatory procedures - musculoskeletal,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S9056,Coma stimulation per diem,,,FALSE,C0812842,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2175,"Episodes where the patient had a comorbid condition during the 12 months prior to or on the episode date (e.g., tuberculosis, neutropenia, cystic fibrosis, chronic bronchitis, pulmonary edema, respiratory failure, rheumatoid lung disease)",,,FALSE,C5439689,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C9362,"Porous purified collagen matrix bone void filler (integra mozaik osteoconductive scaffold strip), per 0.5 cc",,,FALSE,C2729469,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8957-C9507,N=No maintenance for this code,20090701,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20090701,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,621MMA,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",,,FALSE,C0520167,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4350-L4631,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19970101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9069,"Oncology; disease status; small cell lung cancer, limited to small cell and combined small cell/non-small cell; extensive stage at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)",,,FALSE,C1617850,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A0210,Non-emergency transportation: ancillary: meals-escort,,,FALSE,C0497726,http://purl.bioontology.org/ontology/STY/T057,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,19840101,0,O1A=Ambulance,I=Not payable by Medicare,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T057
http://purl.bioontology.org/ontology/HCPCS/G9151,Mapcp demonstration - state provided services,,,FALSE,C3534709,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9148-G9153,N=No maintenance for this code,20110701,0,Z2=Undefined codes,C=Carrier judgment,20110701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0312,"Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes)",,,FALSE,C5771582,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20220511,0,M5D=Specialist - other,I=Not payable by Medicare,20220511,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,99=Value not established,0225=SERVICES FOR MEDICAID PURPOSES.,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J7198,"Anti-inhibitor, per i.u.",,,FALSE,C0812743,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20000101,0,O1E=Other drugs,D=Special coverage instructions apply,20000101,45-24,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7296,"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg",,,FALSE,C4541811,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7294-J7307,N=No maintenance for this code,20180101,0,P6C=Minor procedures - other (Medicare fee schedule),S=Non-covered by Medicare statute,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862(a)(1),9=Other medical items or services,Q9984,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/H0004,"Behavioral health counseling and therapy, per 15 minutes",,,FALSE,C0919040,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing",,,FALSE,C0918320,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20090101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4036,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass",,,FALSE,C0994031,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4001-Q4051,N=No maintenance for this code,20141001,0,D1A=Medical/surgical supplies,C=Carrier judgment,20010701,,,A=Not applicable as HCPCS priced under one methodology,,,,,55=Splints and Casts (effec 10/1/2014),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7684,"Triamcinolone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram",,,FALSE,C0520216,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C5272,"Application of low cost 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)",,,FALSE,C3684881,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20140101,0,P5A=Ambulatory procedures - skin,D=Special coverage instructions apply,20140101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),2=Surgery|F=Ambulatory surgical center (facility usage for surgical services),,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7188,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u.",,,FALSE,C4067606,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7165-J7214,N=No maintenance for this code,20160101,0,O1E=Other drugs,D=Special coverage instructions apply,20160101,,,A=Not applicable as HCPCS priced under one methodology,2049,20160101,,YY,51=Drugs,"0127=PUBLICATION 100.2, CHAPTER 15, 50.1.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4101,"Apligraf, per square centimeter",,,FALSE,C2959303,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G8396,Left ventricular ejection fraction (lvef) not performed or documented,,,FALSE,C1971242,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20080101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E0240,"Bath/shower chair, with or without wheels, any size",,,FALSE,C1314293,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0240-E0248,N=No maintenance for this code,20060101,0,D1E=Other DME,M=Non-covered by Medicare,20040101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P9051,"Whole blood or red blood cells, leukocytes reduced, cmv-negative, each unit",,,FALSE,C1314478,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20040101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,1833T,"0=Whole blood only eff 01/96, whole blood or packed red cells before 01/96",,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/G9793,Patient is currently on a daily aspirin or other antiplatelet,,,FALSE,C4316160,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A0435,"Fixed wing air mileage, per statute mile",,,FALSE,C0918300,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20010101,0,O1A=Ambulance,C=Carrier judgment,20010101,,,A=Not applicable as HCPCS priced under one methodology,,,,,52=Reasonable charge,,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/L7404,"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material",,,FALSE,C1617868,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7400-L7406,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0445,Oximeter device for measuring blood oxygen levels non-invasively,,,FALSE,C1145082,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20030101,0,Z2=Undefined codes,C=Carrier judgment,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9327,"Home infusion therapy, intermittent (less than twenty-four hours) pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C0994212,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J8670,"Rolapitant, oral, 1 mg",,,FALSE,C4316093,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,N=No maintenance for this code,20170101,0,O1E=Other drugs,D=Special coverage instructions apply,20170101,,,A=Not applicable as HCPCS priced under one methodology,,20170101,,YY,51=Drugs,"0211=PUB 100-4, CH 17, SEC 80.4.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9795,Patient is not currently on a daily aspirin or other antiplatelet,,,FALSE,C4316158,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C8001,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same anatomy",,,FALSE,C5974103,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20250101,0,I4B=Imaging/procedure - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A9507,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries",,,FALSE,C0694927,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20060101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,19990101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5622,"Addition to lower extremity, test socket, knee disarticulation",,,FALSE,C0499872,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5618-L5628,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0523,"Management of a new patient with dementia, moderate to high complexity, for use in cmmi model",,,FALSE,C5974156,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0519-G0531,N=No maintenance for this code,20240701,0,Z2=Undefined codes,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1321,Patients who were not seen within 7 weeks following the date of injection for follow up or who did not have a documented iop or no plan of care documented if the iop was >25 mm hg,,,FALSE,C5884186,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L5520,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed",,,FALSE,C0499853,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5510-L5600,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q9999,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg",,,FALSE,C5979777,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9982-Q9999,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G2092,Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) or angiotensin receptor-neprilysin inhibitor (arni) therapy prescribed or currently being taken,,,FALSE,C5229079,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0380,"Injection, metaraminol bitartrate, per 10 mg",,,FALSE,C0498766,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1401,Stages i-iii breast cancer,,,FALSE,C5974348,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9213,"Dsm-iv-tr criteria for major depressive disorder not documented at the initial evaluation, reason not otherwise specified",,,FALSE,C3710317,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C9607,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel",,,FALSE,C3534806,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9600-C9610,N=No maintenance for this code,20130101,0,P2F=Major procedure - cardiovascular - Other,D=Special coverage instructions apply,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,"0107=PAYMENT IS FOR HOSPITAL OUTPATIENT ONLY. NOT PAYABLE UNDER THE PHYSICIAN FEE SCHEDULE; IN ACCORDANCE WITH FR DATE 8/9/2002 (HOPPS), PAGE 52105.",1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/S0260,History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service),,,FALSE,C0994076,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0199-S0400,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",,,FALSE,C0520232,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5500-A5514,N=No maintenance for this code,20050101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2134,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,J=Diabetic shoes (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9622,Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method,,,FALSE,C4067544,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V2718,"Press-on lens, fresnell prism, per lens",,,FALSE,C0500411,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2370,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only",,,FALSE,C1508924,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20160701,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4260,"Signature apatch, per square centimeter",,,FALSE,C5771732,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20220701,0,O1E=Other drugs,C=Carrier judgment,20220701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J7510,"Prednisolone oral, per 5 mg",,,FALSE,C0499075,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20000101,0,O1E=Other drugs,D=Special coverage instructions apply,19960101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,,,,51=Drugs,,,1=Medical care|G=Immunosuppressive drugs,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E1084,"Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests",,,FALSE,C0498578,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1083-E1086,N=No maintenance for this code,19890101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S2230,Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear,,,FALSE,C1314518,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2762,"Polarization, any lens material, per lens",,,FALSE,C1314657,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2700-V2799,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20040101,,,A=Not applicable as HCPCS priced under one methodology,2130.B,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1276,"Bmi documented outside normal parameters, no follow-up plan documented, no reason given",,,FALSE,C5849193,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/T2029,"Specialized medical equipment, not otherwise specified, waiver",,,FALSE,C1314629,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L1600,"Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an inidividual with expertise",,,FALSE,C3710499,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1600-L1690,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2620,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware",,,FALSE,C1508944,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2601-E2621,N=No maintenance for this code,20050101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8877,"Clinician did not attempt to achieve the diagnosis of breast cancer preoperatively by a minimally invasive biopsy method, reason not given",,,FALSE,C3248611,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J2950,"Injection, promazine hcl, up to 25 mg",,,FALSE,C0498990,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S9002,"Intra-vaginal motion sensor system, provides biofeedback for pelvic floor muscle rehabilitation device",,,FALSE,C5974449,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20240401,0,Z2=Undefined codes,I=Not payable by Medicare,20240401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5785,"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)",,,FALSE,C0499950,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5785-L5795,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/K0837,"Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds",,,FALSE,C1741950,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0800-K0899,N=No maintenance for this code,20061001,0,D1D=Wheelchairs,C=Carrier judgment,20061001,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9442,"Birthing classes, non-physician provider, per session",,,FALSE,C0994251,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9603,Patient survey score improved from baseline following treatment,,,FALSE,C4067526,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L2640,"Addition to lower extremity, pelvic control, band and belt, bilateral",,,FALSE,C0499618,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2570-L2680,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V5259,"Hearing aid, digital, binaural, itc",,,FALSE,C0994308,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9153,"Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified",,,FALSE,C1508838,http://purl.bioontology.org/ontology/STY/T121|http://purl.bioontology.org/ontology/STY/T127,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20050101,0,Z2=Undefined codes,I=Not payable by Medicare,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T121|http://purl.bioontology.org/ontology/STY/T127
http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3040-L3060,"Arch Support, Removable, Premolded",,,FALSE,C0813037,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3000-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A0382,Bls routine disposable supplies,,,FALSE,C0497758,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A0000-A0999,N=No maintenance for this code,20140101,0,O1A=Ambulance,I=Not payable by Medicare,19950101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,D=Ambulance (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J8597,"Antiemetic drug, oral, not otherwise specified",,,FALSE,C1621010,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,N=No maintenance for this code,20060101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,1861s2T,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/J9208,"Injection, ifosfamide, 1 gram",,,FALSE,C0499133,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20180101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/M1353,"Patients who did not have a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical encounter",,,FALSE,C5884216,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0109,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes",,,FALSE,C0694931,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0108-G0109,N=No maintenance for this code,20010101,0,Y1=Other - Medicare fee schedule,C=Carrier judgment,19980701,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,"0071=G0108, G0109, SEE PROGRAM MEMORANDUM AB-99-30, MAY 1999, PROGRAM MEMORANDUM AB-98-36.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A9600,"Strontium sr-89 chloride, therapeutic, per millicurie",,,FALSE,C0520084,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,19980101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,57=Other carrier priced,,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/H0008,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient),,,FALSE,C0919044,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20010101,0,Z2=Undefined codes,I=Not payable by Medicare,20010101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3222,"Orthopedic footwear, mens shoe, hightop, depth inlay, each",,,FALSE,C0499673,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,S=Non-covered by Medicare statute,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A8,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J2278,"Injection, ziconotide, 1 microgram",,,FALSE,C1616840,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20060101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,"0123=PUBLICATION 100.2, CHAPTER 15, SS 502.",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4081,"Injection, epoetin alfa, 100 units (for esrd on dialysis)",,,FALSE,C1737765,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4074-Q4082,N=No maintenance for this code,20070101,0,O1E=Other drugs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,4273.1,,,,57=Other carrier priced,,,1=Medical care|L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",,,FALSE,C0520182,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6000-A6412,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,19970101,,,A=Not applicable as HCPCS priced under one methodology,2079,,,,35=Surgical dressings (price subject to floors and ceilings),,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2120,Pulse generator system for tympanic treatment of inner ear endolymphatic fluid,,,FALSE,C1314332,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1902-E2120,N=No maintenance for this code,20040101,0,D1E=Other DME,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9214,"Injection, interferon, alfa-2b, recombinant, 1 million units",,,FALSE,C0499137,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19930101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,G=Immunosuppressive drugs,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J0666,"Injection, bupivacaine liposome, 1 mg",,,FALSE,C3534819,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J3424,"Injection, hydroxocobalamin, intravenous, 25 mg",,,FALSE,C5974272,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240401,0,O1E=Other drugs,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,20240401,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J2281,"Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg",,,FALSE,C5771626,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J9175,"Injection, elliotts' b solution, 1 ml",,,FALSE,C1617862,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20060101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,0095=AS REQUIRED BY BBRA SECTION 201.,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S2351,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, each additional interspace (list separately in addition to code for primary procedure)",,,FALSE,C0812821,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V5264,"Ear mold/insert, not disposable, any type",,,FALSE,C0994313,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20020101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G4021,Orthopedic surgery mips specialty set,,,FALSE,C5574524,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2321,"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware",,,FALSE,C1314342,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1900-L1990,Ankle-Foot Orthotics (AFO),,,FALSE,C2092433,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L1600-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9122,"Home health aide or certified nurse assistant, providing care in the home; per hour",,,FALSE,C0812846,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4266,"Neostim membrane, per square centimeter",,,FALSE,C5884235,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230401,0,O1E=Other drugs,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/L5783,"Addition to lower extremity, user adjustable, mechanical, residual limb volume management system",,,FALSE,C5974301,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5781-L5783,N=No maintenance for this code,20240401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8857,"Patient is not eligible for the referral for otologic evaluation measure (e.g., patients who are already under the care of a physician for acute or chronic dizziness)",,,FALSE,C3248591,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/L6880,"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s)",,,FALSE,C3248664,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6700-L6882,N=No maintenance for this code,20120101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/P3000,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision",,,FALSE,C0500235,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P3000-P3001,N=No maintenance for this code,19950101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,19920101,50-20,630=Cytology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,"0045=SEE INTERMEDIARY MANUAL 3628.1A FOR PAYMENT INSTRUCTIONS. (P3000,P3001 G0123, G0124, G0141, G0143, G0144, G0145, G0147, G0148). PROGRAM MEMORANDUM AB-98-71.60.",,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/K0077,"Front caster assembly, complete, with solid tire, replacement only, each",,,FALSE,C0499236,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,20170101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/J3121,"Injection, testosterone enanthate, 1 mg",,,FALSE,C3871374,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20150101,0,O1E=Other drugs,D=Special coverage instructions apply,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0194=PUB. 100-4, CH. 15.",,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9610,Documentation of medical reason(s) in the patient's record for not ordering anti-platelet agents,,,FALSE,C4067532,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4180,"Revita, per square centimeter",,,FALSE,C4542811,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/C2614,"Probe, percutaneous lumbar discectomy",,,FALSE,C1145021,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20030101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,"0093=""C"" CODES ARE UNIQUE TEMPORARY PRICING CODES THAT WERE INITIALLY ESTABLISHED BY CMS FOR THE HOSPITAL OUTPATIENT PROSPECTIVE PAYMENT SYSTEM (OPPS). THE ""C"" CODES ARE USED ON MEDICARE OPPS CLAIMS BUT MAY ALSO BE RECOGNIZED ON CLAIMS FROM OTHER PROVIDERS OR BY OTHER PAYMENT SYSTEMS.",1833(T),S=Surgical dressings or other medical supplies (eff 04/95)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2377,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue",,,FALSE,C1741399,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"R=Rental of DME|A=Used durable medical equipment (DME)|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/B9998,Noc for enteral supplies,,,FALSE,C0498009,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B9002-B9999,N=No maintenance for this code,19960101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19850101,65-10,,A=Not applicable as HCPCS priced under one methodology,2130|4450,,,,57=Other carrier priced,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0114,Fern test,,,FALSE,C0500274,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0111-Q0115,N=No maintenance for this code,20200101,0,T1H=Lab test - other (Non-Medicare fee schedule),C=Carrier judgment,19940101,,400=Hematology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/A6585,"Gradient compression wrap with adjustable straps, above knee, each",,,FALSE,C5883926,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,C=Change in long description of procedure or modifier code,20250401,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0190,"Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories",,,FALSE,C1314292,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0181-E0199,N=No maintenance for this code,20070101,0,D1E=Other DME,D=Special coverage instructions apply,20040101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2100.1,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A9180,"Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker",,,FALSE,C1508839,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,20050101,0,Z2=Undefined codes,I=Not payable by Medicare,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/G8910,Patient documented to have experienced a fall within asc,,,FALSE,C3534791,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120401,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q9950,"Injection, sulfur hexafluoride lipid microspheres, per ml",,,FALSE,C4067631,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9950-Q9969,N=No maintenance for this code,20240101,0,I1F=Standard imaging - other,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6623,"Upper extremity addition, spring assisted rotational wrist unit with latch release",,,FALSE,C0500031,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2097,"Episodes where the patient had a competing diagnosis on or within three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, chronic sinusitis, infection of the adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti)",,,FALSE,C5229084,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1087-E1090,Wheelchair: High-Strength Lightweight,,,FALSE,C0499165,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0508,"Trifocal vision prescription lens (safety, athletic, or sunglass), per lens",,,FALSE,C0994087,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0500-S0596,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L2375,"Addition to lower extremity, torsion control, ankle joint and half solid stirrup",,,FALSE,C0499588,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G2014,"Limited (30 minutes) care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)",,,FALSE,C5229047,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C8004,"Simulation angiogram with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the angiogram, for subsequent therapeutic radioembolization of tumors",,,FALSE,C5979708,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,A=Add procedure or modifier code,20250401,0,P1G=Major procedure - other,D=Special coverage instructions apply,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t),2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/E2218,"Manual wheelchair accessory, foam propulsion tire, any size, each",,,FALSE,C1619364,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H1005,"Prenatal care, at-risk enhanced service package (includes h1001-h1004)",,,FALSE,C0993935,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4215,"Axolotl ambient or axolotl cryo, 0.1 mg",,,FALSE,C5229206,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20191001,0,O1E=Other drugs,C=Carrier judgment,20191001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/M1330,"Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up)",,,FALSE,C5849244,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4563,"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each",,,FALSE,C4746275,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20190101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4421,Ostomy supply; miscellaneous,,,FALSE,C0776812,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20180101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3255,Non-standard size or length,,,FALSE,C0499683,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19970101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2323,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4613,Battery charger; replacement for patient-owned ventilator,,,FALSE,C0497876,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4611-A4629,N=No maintenance for this code,20140101,0,D1E=Other DME,S=Non-covered by Medicare statute,19900101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1834a3A,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4163,"Woundex, bioskin, per square centimeter",,,FALSE,C4542806,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20160101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/J0207,"Injection, amifostine, 500 mg",,,FALSE,C1321603,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19980101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A8000-A8004,Helmets,,,FALSE,C0018884,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/M1339,Patients who had follow-up assessment 30 to 180 days after the index assessment who demonstrated positive improvement or maintenance of functioning scores during the performance period,,,FALSE,C5884202,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/S0514,"Color contact lens, per lens",,,FALSE,C0994090,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0500-S0596,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9112,"Oncology; disease status; head and neck cancer, limited to cancers of oral cavity, pharynx and larynx with squamous cell as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)",,,FALSE,C1616327,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/B5000,"Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, renal-aminosyn-rf, nephramine, renamine-premix",,,FALSE,C0498002,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4164-B5200,N=No maintenance for this code,20160101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,19880101,65-10,,A=Not applicable as HCPCS priced under one methodology,2130|4450,,,,39=Parenteral and enteral nutrition,,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/L5818,"Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control",,,FALSE,C0499958,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5810-L5966,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7670,"Metaproterenol sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams",,,FALSE,C1738563,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9512,Individual had a pdc of 0.8 or greater,,,FALSE,C4067463,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E0605,"Vaporizer, room type",,,FALSE,C0498470,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0605-E0606,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4126,"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter",,,FALSE,C3248671,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20130101,0,O1E=Other drugs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G9986,"Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires at least 2 of the following 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 40 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology",,,FALSE,C4721984,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20181001,0,M1B=Office visits - established,C=Carrier judgment,20181001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L0623,"Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf",,,FALSE,C3710482,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0621-L0624,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/C7542,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)",,,FALSE,C5771555,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20240101,0,P8B=Endoscopy - upper gastrointestinal,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/J9043,"Injection, cabazitaxel, 1 mg",,,FALSE,C2958912,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20120101,0,O1D=Chemotherapy,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,20120101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9419,"Documentation of medical reason(s) for not including the histological type or nsclc-nos classification with an explanation (e.g. specimen insufficient or non-diagnostic, specimen does not contain cancer, or other documented medical reasons)",,,FALSE,C3871325,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20150101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S5551,"Insulin, most rapid onset (lispro or aspart); 5 units",,,FALSE,C1314586,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S5550-S5571,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L4370,"Pneumatic full leg splint, prefabricated, off-the-shelf",,,FALSE,C3710541,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4350-L4631,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19890101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20A0000-A9999,A Codes,,,FALSE,C0919279,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/MTHU000323,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/G8785,"Blood pressure reading not documented, reason not given",,,FALSE,C3248523,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3600-L3649,Orthosis - Transfer or Replacement,,,FALSE,C5228971,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3000-L3649,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9038,"Injection, axatilimab-csfr, 0.1 mg",,,FALSE,C5979738,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,A=Add procedure or modifier code,20250401,0,O1D=Chemotherapy,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q5119,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",,,FALSE,C5439796,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q5101-Q5152,N=No maintenance for this code,20200701,0,O1D=Chemotherapy,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,20200701,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0177,"Levamisole hydrochloride, oral, 50 mg",,,FALSE,C0994061,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J8700,"Temozolomide, oral, 5 mg",,,FALSE,C0919079,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,N=No maintenance for this code,20180101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2049.5C,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C2620,"Pacemaker, single chamber, non rate-responsive (implantable)",,,FALSE,C0993809,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2617-C2631,N=No maintenance for this code,20010401,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1376,An additional encounter with an ra diagnosis during the performance period or prior performance period that is at least 90 days before or after an encounter with an ra diagnosis during the performance period,,,FALSE,C5974324,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G8667,"Residual score for the elbow, wrist or hand impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)",,,FALSE,C4746341,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J9155,"Injection, degarelix, 1 mg",,,FALSE,C2729285,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20100101,0,O1E=Other drugs,C=Carrier judgment,20100101,,,A=Not applicable as HCPCS priced under one methodology,,20100101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1741,"Injection, ibuprofen, 100 mg",,,FALSE,C3534681,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20130101,0,O1E=Other drugs,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9723,Hospice services for patient received any time during the measurement period,,,FALSE,C4316214,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q0492,"Emergency power supply cable for use with electric ventricular assist device, replacement only",,,FALSE,C1621019,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0477-Q0509,N=No maintenance for this code,20130101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20051001,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",0178=SEE NCDM 20.9.,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L6698,"Addition to upper extremity prosthesis, lock mechanism, excludes socket insert",,,FALSE,C5979753,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6600-L6698,C=Change in long description of procedure or modifier code,20250401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/P9012,"Cryoprecipitate, each unit",,,FALSE,C0500240,http://purl.bioontology.org/ontology/STY/T031,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20P9010-P9100,N=No maintenance for this code,20010101,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,19870101,,,A=Not applicable as HCPCS priced under one methodology,2455 B,,,,52=Reasonable charge,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T031
http://purl.bioontology.org/ontology/HCPCS/J0584,"Injection, burosumab-twza 1 mg",,,FALSE,C4746402,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20190101,0,O1E=Other drugs,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,20190101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S9366,"Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem",,,FALSE,C0994238,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9325-S9379,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2300-V2399,"Trifocal, Glass, or Plastic",,,FALSE,C0813136,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20V0000-V2999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1391,All patients who were diagnosed with recurrent melanoma during the current performance period,,,FALSE,C5974338,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A5081,"Stoma plug or seal, any type",,,FALSE,C3710265,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A5051-A5093,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4283,"Biovance tri-layer or biovance 3l, per square centimeter",,,FALSE,C5884251,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20230701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E1610,"Reverse osmosis water purification system, for hemodialysis",,,FALSE,C0993865,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1500-E1699,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,55-1A,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8602,"Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well, reason not given",,,FALSE,C2729242,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/M1348,Patients who achieved a net increase in pam score of at least 6-points in a 4 to 12 month period (excellent),,,FALSE,C5974317,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/B4162,"Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",,,FALSE,C1508849,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20B4100-B4162,N=No maintenance for this code,20050101,0,O1C=Enteral and parenteral,D=Special coverage instructions apply,20050101,65-10,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,E=Enteral/parenteral nutrients/supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/G9116,"Oncology; disease status; ovarian cancer, limited to epithelial cancer; evidence of disease progression, or recurrence, and/or platinum resistance (for use in a medicare-approved demonstration project)",,,FALSE,C1618371,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A4771,"Serum clotting time tube, for dialysis, per 50",,,FALSE,C0993701,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2292,"Seat, planar, for pediatric size wheelchair including fixed attaching hardware",,,FALSE,C1508813,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4467,"Belt, strap, sleeve, garment, or covering, any type",,,FALSE,C4316287,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20170101,0,Z2=Undefined codes,M=Non-covered by Medicare,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0208=IOM 100-2, CH.15, SEC 100.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/J2791,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu",,,FALSE,C1971344,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20160101,0,O1E=Other drugs,D=Special coverage instructions apply,20080101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S0013,"Esketamine, nasal spray, 1 mg",,,FALSE,C5439803,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20210101,0,Z2=Undefined codes,I=Not payable by Medicare,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L1920,"Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated",,,FALSE,C0499524,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1900-L1990,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V5267,"Hearing aid or assistive listening device/supplies/accessories, not otherwise specified",,,FALSE,C0994316,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20130101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,,,FALSE,C1619366,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0510-Q0514,N=No maintenance for this code,20060101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",0129=MMA section 303(e).,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/C7541,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)",,,FALSE,C5771554,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20240101,0,P8B=Endoscopy - upper gastrointestinal,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/J9205,"Injection, irinotecan liposome, 1 mg",,,FALSE,C4316090,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20170101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20170101,,,A=Not applicable as HCPCS priced under one methodology,2049,20170101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S8055,"Ultrasound guidance for multifetal pregnancy reduction(s), technical component (only to be used when the physician doing the reduction procedure does not perform the ultrasound, guidance is included in the cpt code for multifetal pregnancy reduction - 59866)",,,FALSE,C0994164,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8030-S8092,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0485,"Injection, belatacept, 1 mg",,,FALSE,C3534684,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20130101,0,O1E=Other drugs,C=Carrier judgment,20130101,,,A=Not applicable as HCPCS priced under one methodology,,20130101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4334,"Urinary catheter anchoring device, leg strap, each",,,FALSE,C0918309,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4310-A4355,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9045,"Injection, carboplatin, 50 mg",,,FALSE,C0499106,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G6013,"Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev",,,FALSE,C0373377,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G6003-G6017,N=No maintenance for this code,20150101,0,P7A=Oncology - radiation therapy,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,6=Therapeutic radiology,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3225,"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis)",,,FALSE,C0499676,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,19950101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2323D,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J1675,"Injection, histrelin acetate, 10 micrograms",,,FALSE,C1618374,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20060101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,0095=AS REQUIRED BY BBRA SECTION 201.,,1=Medical care|G=Immunosuppressive drugs,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A4870,Plumbing and/or electrical work for home hemodialysis equipment,,,FALSE,C0497923,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932,N=No maintenance for this code,20150101,0,P9B=Dialysis services (Non-Medicare fee schedule),D=Special coverage instructions apply,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),4270,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.",,L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8565,Verification and documentation of sudden or rapidly progressive hearing loss,,,FALSE,C2729207,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20100101,0,M5D=Specialist - other,C=Carrier judgment,20100101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9102,"Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; clinical or pathologic m0, unresectable with no evidence of disease progression, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1617344,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2107,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens",,,FALSE,C0500322,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2100-V2199,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J7507,"Tacrolimus, immediate release, oral, 1 mg",,,FALSE,C3710460,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7500-J7601,N=No maintenance for this code,20140101,0,O1E=Other drugs,D=Special coverage instructions apply,19950101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,,,,51=Drugs,,,G=Immunosuppressive drugs|1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/A9300,Exercise equipment,,,FALSE,C0497977,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9150-A9300,N=No maintenance for this code,19960101,0,Z2=Undefined codes,M=Non-covered by Medicare,19930101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2100.1,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5050,"Ankle, symes, molded socket, sach foot",,,FALSE,C0499826,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5050-L5060,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G0495,"Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes",,,FALSE,C4316273,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0493-G0496,N=No maintenance for this code,20170101,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4254,"Novafix dl, per square centimeter",,,FALSE,C5439794,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20201001,0,O1E=Other drugs,C=Carrier judgment,20201001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/V5298,"Hearing aid, not otherwise classified",,,FALSE,C1145385,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5298-V5299,N=No maintenance for this code,20030101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2426,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg",,,FALSE,C2959257,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20230701,0,O1E=Other drugs,C=Carrier judgment,20110101,,,A=Not applicable as HCPCS priced under one methodology,,20110101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1787,"Patient programmer, neurostimulator",,,FALSE,C0993772,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9590,"Home therapy, irrigation therapy (e.g., sterile irrigation of an organ or anatomical cavity); including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem",,,FALSE,C1145354,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9490-S9810,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G4029,Preventive medicine mips specialty set,,,FALSE,C5574532,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V5181,"Hearing aid, contralateral routing device, monaural, behind the ear (bte)",,,FALSE,C4746513,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V5120-V5267,N=No maintenance for this code,20190101,0,O1F=Hearing and speech services,S=Non-covered by Medicare statute,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A7,K=Hearing items and services (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9518,Documentation of active injection drug use,,,FALSE,C4067469,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4253,"Zenith amniotic membrane, per square centimeter",,,FALSE,C5574638,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20211001,0,O1E=Other drugs,C=Carrier judgment,20211001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/M1397,Patients with recurrence/disease progression,,,FALSE,C5974344,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/H2021,"Community-based wrap-around services, per 15 minutes",,,FALSE,C1314394,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S2208,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using single arterial and venous graft(s), single venous graft",,,FALSE,C0812816,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2350,"Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses)",,,FALSE,C0499585,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J7615,"Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg",,,FALSE,C1738562,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4338,"Artacent velos, per square centimeter",,,FALSE,C5974415,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20241001,0,O1E=Other drugs,C=Carrier judgment,20241001,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E0500,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source",,,FALSE,C0498460,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0500-E0530,N=No maintenance for this code,19860101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,,,,,31=Frequently serviced DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9117,"Back school, per visit",,,FALSE,C0994199,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1721-C1722,Cardioverter-Defibrilators,,,FALSE,C4542555,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20C1000-C9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L0638,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, custom fabricated",,,FALSE,C1509050,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0628-L0640,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J8510,"Busulfan; oral, 2 mg",,,FALSE,C0812748,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J8501-J8999,N=No maintenance for this code,20250101,0,O1D=Chemotherapy,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,20250101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0555,"Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter",,,FALSE,C0498462,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0550-E0585,N=No maintenance for this code,19960101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,19860101,60-9,,A=Not applicable as HCPCS priced under one methodology,4107.9,,,,33=Oxygen and oxygen equipment (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,Skin Substitutes (CMS Temporary Codes),,,FALSE,C2729414,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20Q0000-Q9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S3800-S3870,Genetic Testing,,,FALSE,C0679560,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20S0000-S9999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/E1392,"Portable oxygen concentrator, rental",,,FALSE,C1618343,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1352-E1406,N=No maintenance for this code,20060101,0,D1C=Oxygen and supplies,D=Special coverage instructions apply,20060101,60-4,,A=Not applicable as HCPCS priced under one methodology,,,,,33=Oxygen and oxygen equipment (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2253,"Injection, midazolam (seizalam), 1 mg",,,FALSE,C5974256,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20241001,0,O1E=Other drugs,D=Special coverage instructions apply,20241001,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/T2035,"Utility services to support medical equipment and assistive technology/devices, waiver",,,FALSE,C1314635,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/M1344,Patients who did not have a baseline pam score and/or a second score within 4 to 12 months of baseline pam score,,,FALSE,C5974313,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A6557,"Gradient compression stocking, thigh length, 30-40 mmhg, custom, each",,,FALSE,C5883899,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6550-A6589,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9474,"Services performed by dietary counselor in the hospice setting, each 15 minutes",,,FALSE,C4067440,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,M5D=Specialist - other,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/C8926,"Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report",,,FALSE,C1971561,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C8921-C8930,N=No maintenance for this code,20080101,0,I3C=Echography/ultrasonography - heart,D=Special coverage instructions apply,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/S0595,Dispensing new spectacle lenses for patient supplied frame,,,FALSE,C1618393,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0500-S0596,N=No maintenance for this code,20050401,0,Z2=Undefined codes,I=Not payable by Medicare,20050401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0665,"Non-segmental pneumatic appliance for use with pneumatic compressor, full arm",,,FALSE,C0498488,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0650-E0677,N=No maintenance for this code,19960101,0,D1E=Other DME,D=Special coverage instructions apply,19860101,60-16,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2343,"Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches",,,FALSE,C1314356,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4303,"Complete aa, per square centimeter",,,FALSE,C5884270,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E0602,"Breast pump, manual, any type",,,FALSE,C0441146,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0602-E0604,N=No maintenance for this code,20020101,0,D1E=Other DME,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8722,"Documentation of medical reason(s) for not including the pt category, the pn category or the histologic grade in the pathology report (e.g., re-excision without residual tumor; non-carcinomasanal canal)",,,FALSE,C3248465,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20140101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9003,"Coordinated care fee, risk adjusted high, initial",,,FALSE,C0919030,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9001-G9012,N=No maintenance for this code,20001001,0,Y2=Other - Non-Medicare fee schedule,D=Special coverage instructions apply,20001001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0097=FOR INSTRUCTIONS RELATED TO THE MEDICARE COORDINATED CARE DEMONSTRATION (MCCD) SEF CR1050, 1116 AND 1118.",,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1382,Patient encounter during the performance period with place of service code 11,,,FALSE,C5974330,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20250101,0,Z2=Undefined codes,C=Carrier judgment,20250101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q3014,Telehealth originating site facility fee,,,FALSE,C0993994,http://purl.bioontology.org/ontology/STY/T081,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q3014-Q3014,N=No maintenance for this code,20011001,0,Y2=Other - Non-Medicare fee schedule,C=Carrier judgment,20011001,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T081
http://purl.bioontology.org/ontology/HCPCS/L3219,"Orthopedic footwear, mens shoe, oxford, each",,,FALSE,C0499671,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%205%3A%20L3201-L3265,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,S=Non-covered by Medicare statute,19840101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,1862A8,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1184,"Documentation of medical reason(s) for not prescribing or administering corticosteroid or immunosuppressant treatment (e.g., allergy, intolerance, infectious etiology, pancreatic insufficiency, hyperthyroidism, prior bowel surgical interventions, celiac disease, receiving other medication, awaiting diagnostic workup results for alternative etiologies, other medical reasons/contraindication)",,,FALSE,C5771690,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230101,0,Z2=Undefined codes,C=Carrier judgment,20230101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G4005,Family medicine mips specialty set,,,FALSE,C5574508,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G4000-G4038,N=No maintenance for this code,20220101,0,Z2=Undefined codes,C=Carrier judgment,20220101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9901,"Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period",,,FALSE,C5203730,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9093,"Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t4, any n, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)",,,FALSE,C1617853,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9013-G9140,N=No maintenance for this code,20070101,0,P7B=Oncology - other,C=Carrier judgment,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2205,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens",,,FALSE,C0500340,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G0076,"Brief (20 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)",,,FALSE,C4746307,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0068-G0090,N=No maintenance for this code,20190101,0,M4A=Home visit,C=Carrier judgment,20190101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S8460,"Camisole, post-mastectomy",,,FALSE,C1314599,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/E0700,"Safety equipment, device or accessory, any type",,,FALSE,C0033612,http://purl.bioontology.org/ontology/STY/T073,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0700-E0705,N=No maintenance for this code,20100101,0,D1E=Other DME,C=Carrier judgment,19860101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T073
http://purl.bioontology.org/ontology/HCPCS/J1571,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml",,,FALSE,C1971339,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20090101,0,O1E=Other drugs,D=Special coverage instructions apply,20080101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C7547,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",,,FALSE,C5771560,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P5E=Ambulatory procedures - other,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9055,"Injection, cetuximab, 10 mg",,,FALSE,C1508863,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20050101,0,O1E=Other drugs,C=Carrier judgment,20050101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L7400-L7406,Prosthetic Procedures - Upper Limb - Additions,,,FALSE,C0813099,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L6000-L7600,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9960,Documentation of medical reason(s) for prescribing systemic antimicrobials,,,FALSE,C4542779,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20180101,0,Z2=Undefined codes,C=Carrier judgment,20180101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J2700,"Injection, oxacillin sodium, up to 250 mg",,,FALSE,C0498973,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20140101,0,O1E=Other drugs,D=Special coverage instructions apply,19820101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G8670,"Residual score for the elbow, wrist or hand impairment not measured because the patient did not complete the elbow/wrist/hand fs prom at initial evaluation and/or near discharge, reason not given",,,FALSE,C5229133,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20230101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20110101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/K1030,"External recharging system for battery (internal) for use with implanted cardiac contractility modulation generator, replacement only",,,FALSE,C5771652,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K1030-K1037,N=No maintenance for this code,20220401,0,Z2=Undefined codes,C=Carrier judgment,20220401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,99=Value not established,,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1363,Patients who did not have a follow-up assessment within 120 days of the index assessment,,,FALSE,C5884222,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/E1222,"Wheelchair with fixed arm, elevating legrests",,,FALSE,C0498607,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E1220-E1228,N=No maintenance for this code,19900101,0,D1D=Wheelchairs,D=Special coverage instructions apply,19860101,60-6,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J9100,"Injection, cytarabine, 100 mg",,,FALSE,C0499121,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C1831,"Interbody cage, anterior, lateral or posterior, personalized (implantable)",,,FALSE,C5574436,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20230101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20211001,,,A=Not applicable as HCPCS priced under one methodology,,20211001,,YY,53=Statute,,1833(t),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1726,"Injection, hydroxyprogesterone caproate, (makena), 10 mg",,,FALSE,C4542791,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20180101,0,O1E=Other drugs,C=Carrier judgment,20180101,,,A=Not applicable as HCPCS priced under one methodology,,20180101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L0200,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension",,,FALSE,C0499401,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0180-L0200,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19840101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2100,"Sphere, single vision, plano to plus or minus 4.00, per lens",,,FALSE,C0500315,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2100-V2199,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G9839,Anti-egfr monoclonal antibody therapy,,,FALSE,C4316122,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L3763,"Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",,,FALSE,C1616336,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3702-L3766,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/A4564,"Pessary, disposable, any type",,,FALSE,C5974084,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,N=No maintenance for this code,20240401,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20240401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"46=Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/STY/T185,Classification,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T170,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T184,Sign or Symptom,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T033,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/HCPCS/L0490,"Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at or before the t-9 vertebra, anterior extends from symphysis pubis to xiphoid, anterior opening, restricts gross trunk motion in sagittal and coronal planes, prefabricated, includes fitting and adjustment",,,FALSE,C1145272,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0482,"Cough stimulating device, alternating positive and negative airway pressure",,,FALSE,C0993858,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0424-E0493,N=No maintenance for this code,20020101,0,D1E=Other DME,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,R=Rental of DME,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1596,"Injection, glycopyrrolate, 0.1 mg",,,FALSE,C5884052,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2600-V2615,Low Vision Aids,,,FALSE,C0733778,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20V0000-V2999,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0330,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room",,,FALSE,C5771593,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20240101,0,P1G=Major procedure - other,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20240101,,YY,53=Statute,,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/S8423,"Gradient pressure aid (sleeve), custom made, heavy weight",,,FALSE,C0994183,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S8265-S9152,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E0627,"Seat lift mechanism, electric, any type",,,FALSE,C0498478,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0621-E0642,N=No maintenance for this code,20170101,0,D1E=Other DME,D=Special coverage instructions apply,19920101,60-8,,A=Not applicable as HCPCS priced under one methodology,4107.8,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J0220,"Injection, alglucosidase alfa, 10 mg, not otherwise specified",,,FALSE,C1742743,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20120101,0,O1E=Other drugs,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L6380,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow",,,FALSE,C0500009,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L6380-L6388,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L5060,"Ankle, symes, metal frame, molded leather socket, articulated ankle/foot",,,FALSE,C0499827,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5050-L5060,N=No maintenance for this code,19960101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1237,"Patient reason for not screening for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety (e.g., patient declined or other patient reasons)",,,FALSE,C5884142,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G9608,Intraoperative cystoscopy not performed to evaluate for lower tract injury,,,FALSE,C4067530,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G2205,Patients with pregnancy during adjuvant treatment course,,,FALSE,C5439718,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20210101,0,Z2=Undefined codes,C=Carrier judgment,20210101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A7504,"Filter for use in a tracheostoma heat and moisture exchange system, each",,,FALSE,C0918329,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7501-A7527,N=No maintenance for this code,20010101,0,D1F=Prosthetic/Orthotic devices,D=Special coverage instructions apply,20010101,,,A=Not applicable as HCPCS priced under one methodology,2130,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4328,"Most, per square centimeter",,,FALSE,C5974405,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240701,0,O1E=Other drugs,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/G0405,"Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination",,,FALSE,C1509001,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0403-G0405,N=No maintenance for this code,20090101,0,T2C=Other tests - EKG monitoring,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,11=Price established using national RVU's,"0153=PURSUANT TO SECTION 101 (B) OF THE MEDICARE IMPROVEMENT FOR PATIENTS AND PROVIDERS ACT OF 2008 (MIPPA) EFFECTIVE JANUARY 1, 2009, WE EXPANDED COVERAGE FOR THE WELCOME TO MEDICARE BENEFIT; IT IS SUBJECT TO CERTAIN ELIGIBILITY AND OTHER LIMITATIONS THAT ALLOW PAYMENT FOR AN INITIAL PREVENTIVE PHYSICAL EXAMINATION (IPPE), NOT LATER THAN 12 MONTHS AFTER THE DATE THE INDIVIDUAL'S FIRST COVERAGE PERIOD BEGINS UNDER MEDICARE PART B.",,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",,,FALSE,C3871381,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L1810-L1860,N=No maintenance for this code,20170101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M0010,Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services,,,FALSE,C5884116,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20230401,0,P7B=Oncology - other,C=Carrier judgment,20230401,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E1018,"Heavy duty shock absorber for heavy duty or extra heavy duty power wheelchair, each",,,FALSE,C1145103,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20030101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20030101,,,A=Not applicable as HCPCS priced under one methodology,60.9,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4365,"Amnio burgeon dual-layer membrane, per square centimeter",,,FALSE,C5979768,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,A=Add procedure or modifier code,20250401,0,O1E=Other drugs,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/E2367,"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each",,,FALSE,C1314365,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20040101,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0160,"Dextroamphetamine sulfate, 5 mg",,,FALSE,C1971782,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0012-S0197,N=No maintenance for this code,20040401,0,Z2=Undefined codes,I=Not payable by Medicare,20040401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C7550,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent",,,FALSE,C5771563,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C5271-C8005,N=No maintenance for this code,20230101,0,P8E=Endoscopy - cystoscopy,C=Carrier judgment,20230101,,,A=Not applicable as HCPCS priced under one methodology,,20230101,,YY,11=Price established using national RVU's,0229=THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.,,2=Surgery,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/G8420,Bmi is documented within normal parameters and no follow-up plan is required,,,FALSE,C1971262,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20140101,0,M5D=Specialist - other,C=Carrier judgment,20080101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Q9965,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml",,,FALSE,C1971370,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q9950-Q9969,N=No maintenance for this code,20080101,0,I1E=Standard imaging - nuclear medicine,D=Special coverage instructions apply,20080101,,,A=Not applicable as HCPCS priced under one methodology,15022,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/G9766,Patients who are transferred from one institution to another with a known diagnosis of cva for endovascular stroke treatment,,,FALSE,C4316186,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/Q0177,"Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",,,FALSE,C0695002,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0138-Q0249,N=No maintenance for this code,19980401,0,O1D=Chemotherapy,D=Special coverage instructions apply,19980401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,4557,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S2325,Hip core decompression,,,FALSE,C1737767,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20061001,0,Z2=Undefined codes,I=Not payable by Medicare,20061001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G9502,"Documentation of medical reason for not performing foot exam (i.e., patients who have had either a bilateral amputation above or below the knee, or both a left and right amputation above or below the knee before or during the measurement period)",,,FALSE,C4067453,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/L4398,"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf",,,FALSE,C3710545,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L4350-L4631,N=No maintenance for this code,20140101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19970101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2790,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)",,,FALSE,C0498980,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20140101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9736,Patient refused to participate,,,FALSE,C4284598,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20170101,0,Z2=Undefined codes,C=Carrier judgment,20170101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0306,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count",,,FALSE,C1314380,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0127-G0372,N=No maintenance for this code,20090101,0,T1D=Lab tests - blood counts,C=Carrier judgment,20040101,,400=Hematology,A=Not applicable as HCPCS priced under one methodology,,,,,21=Price subject to national limitation amount,,,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Q4299,"Amnicore pro+, per square centimeter",,,FALSE,C5884282,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/S1002,Customized item (list in addition to code for basic item),,,FALSE,C0994099,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J0615,"Calcium acetate, oral, 23 mg (for esrd on dialysis)",,,FALSE,C5974229,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20250101,0,O1E=Other drugs,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,57=Other carrier priced,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/K0053,"Elevating footrests, articulating (telescoping), each",,,FALSE,C0499212,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0001-K0195,N=No maintenance for this code,19940101,0,D1D=Wheelchairs,C=Carrier judgment,19940101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L3980,"Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment",,,FALSE,C0499792,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3980-L3999,N=No maintenance for this code,20150101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19820101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/A6534,"Gradient compression stocking, thigh length, 30-40 mmhg, each",,,FALSE,C0500155,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A6501-A6549,N=No maintenance for this code,20240101,0,O1L=Lymphedema Compression Treatment Items (eff 1/1/2024),C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,40=Lymphedema Compression Treatment Items,,,S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G8724,"Pt category, pn category and histologic grade were not documented in the pathology report, reason not given",,,FALSE,C3248467,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/C1889,"Implantable/insertable device, not otherwise classified",,,FALSE,C4316282,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C1760-C2615,N=No maintenance for this code,20190101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20170101,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),F=Ambulatory surgical center (facility usage for surgical services)|9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E2627,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type",,,FALSE,C0499785,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2626-E2633,N=No maintenance for this code,20120101,0,D1D=Wheelchairs,C=Carrier judgment,20120101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/E1010,"Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair",,,FALSE,C1314324,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0950-E1030,N=No maintenance for this code,20140401,0,D1D=Wheelchairs,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,36=Capped rental DME (price subject to floors and ceilings),,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S3600,Stat laboratory request (situations other than s3601),,,FALSE,C0994121,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0630-S3722,N=No maintenance for this code,20020101,0,Z2=Undefined codes,I=Not payable by Medicare,20020101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4450-A4608,Miscellaneous Supplies,,,FALSE,C0812881,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7611,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg",,,FALSE,C1509020,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20090701,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20050101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),2100.5,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5331,"Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot",,,FALSE,C0993977,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5301-L5341,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/G8867,"Pneumococcal vaccine not administered or previously received, reason not given",,,FALSE,C3248601,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20130101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/J2311,"Injection, naloxone hydrochloride (zimhi), 1 mg",,,FALSE,C5771627,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20240101,0,O1E=Other drugs,D=Special coverage instructions apply,20230101,,,A=Not applicable as HCPCS priced under one methodology,2049,20240101,,YY,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/Q4154,"Biovance, per square centimeter",,,FALSE,C3871392,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20150101,0,O1E=Other drugs,C=Carrier judgment,20150101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Q0166,"Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 hour dosage regimen",,,FALSE,C0694991,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q0138-Q0249,N=No maintenance for this code,20090101,0,O1D=Chemotherapy,D=Special coverage instructions apply,19980401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,4557,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L5644,"Addition to lower extremity, above knee, wood socket",,,FALSE,C0499888,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5629-L5653,N=No maintenance for this code,19860101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19860101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",,,FALSE,C0500338,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20V2200-V2299,N=No maintenance for this code,20031001,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19850101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,Q=Vision items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q4288,"Dermabind ch, per square centimeter",,,FALSE,C5884256,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20240101,0,O1E=Other drugs,C=Carrier judgment,20240101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/T2025,Waiver services; not otherwise specified (nos),,,FALSE,C1314625,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20031001,0,Z2=Undefined codes,I=Not payable by Medicare,20031001,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2209,"Accessory, arm trough, with or without hand support, each",,,FALSE,C1616300,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20070101,0,D1D=Wheelchairs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G0548,"Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, including a verbal and written report to the patient's treating/requesting practitioner; 21-30 minutes of medical consultative discussion and review",,,FALSE,C5974181,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0532-G0567,N=No maintenance for this code,20250101,0,M5D=Specialist - other,C=Carrier judgment,20250101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/V5,Vascular catheter (alone or with any other vascular access),,,FALSE,C0441134,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20100701,,,C=Carrier judgment,20100101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/V3,Demonstration modifier 3,,,FALSE,C4316290,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20170101,,,C=Carrier judgment,20170101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/V2,Demonstration modifier 2,,,FALSE,C4316291,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20170101,,,C=Carrier judgment,20170101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/V1,Demonstration modifier 1,,,FALSE,C4316292,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20170101,,,C=Carrier judgment,20170101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/VM,Medicare diabetes prevention program (mdpp) virtual make-up session,,,FALSE,C4542676,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20180401,,,C=Carrier judgment,20180401,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/VP,Aphakic patient,,,FALSE,C0497702,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,19970101,,,C=Carrier judgment,19840101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/V6,Arteriovenous graft (or other vascular access not including a vascular catheter),,,FALSE,C2937317,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20100701,,,C=Carrier judgment,20100101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/V7,Arteriovenous fistula only (in use with two needles),,,FALSE,C2963140,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20100701,,,C=Carrier judgment,20100101,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/V4,Demonstration modifier 4,,,FALSE,C5439625,http://purl.bioontology.org/ontology/STY/T170,http://purl.bioontology.org/ontology/HCPCS/MTHU000319,N=No maintenance for this code,20201001,,,C=Carrier judgment,20201001,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T170
http://purl.bioontology.org/ontology/HCPCS/M1297,Bmi not documented due to medical reason or patient refusal of height or weight measurement,,,FALSE,C5849247,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4269,"Contraceptive supply, spermicide (e.g., foam, gel), each",,,FALSE,C1144908,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1112,"Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care",,,FALSE,C5203701,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/E2381,"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each",,,FALSE,C1738014,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20070101,0,D1D=Wheelchairs,D=Special coverage instructions apply,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),0125=NCD MANUAL 280.1.,,"P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)|R=Rental of DME",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9455,"Diabetic management program, group session",,,FALSE,C0812856,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20000101,0,Z2=Undefined codes,I=Not payable by Medicare,20000101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)","0088=""S"" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.",,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/C2698,"Brachytherapy source, stranded, not otherwise specified, per source",,,FALSE,C1971554,http://purl.bioontology.org/ontology/STY/T121,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2634-C2699,N=No maintenance for this code,20070701,0,I4B=Imaging/procedure - other,D=Special coverage instructions apply,20070701,,,A=Not applicable as HCPCS priced under one methodology,,20080101,,YY,53=Statute,,1833(t)(2),4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T121
http://purl.bioontology.org/ontology/HCPCS/M1055,Aspirin or another antiplatelet therapy used,,,FALSE,C4722424,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A4286,"Locking ring for breast pump, replacement",,,FALSE,C1144914,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4238-A4290,N=No maintenance for this code,20070101,0,Z2=Undefined codes,C=Carrier judgment,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J1640,"Injection, hemin, 1 mg",,,FALSE,C1618888,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20060101,0,O1E=Other drugs,D=Special coverage instructions apply,20060101,,,A=Not applicable as HCPCS priced under one methodology,2049,20080101,,YY,51=Drugs,0095=AS REQUIRED BY BBRA SECTION 201.,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9655,A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used,,,FALSE,C4067572,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20160101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/A4417,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each",,,FALSE,C1314221,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4361-A4438,N=No maintenance for this code,20040101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20040101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"37=Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S9434,Modified solid food supplements for inborn errors of metabolism,,,FALSE,C1314604,http://purl.bioontology.org/ontology/STY/T168,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S9381-S9485,N=No maintenance for this code,20030401,0,Z2=Undefined codes,I=Not payable by Medicare,20030401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T168
http://purl.bioontology.org/ontology/HCPCS/K1034,"Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count",,,FALSE,C5771656,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K1030-K1037,N=No maintenance for this code,20230512,0,Z2=Undefined codes,C=Carrier judgment,20220404,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/J0696,"Injection, ceftriaxone sodium, per 250 mg",,,FALSE,C0498795,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19900101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/G9509,Adult patients 18 years of age or older with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5,,,FALSE,C4746352,http://purl.bioontology.org/ontology/STY/T101,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20190101,0,Z2=Undefined codes,C=Carrier judgment,20160101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T101
http://purl.bioontology.org/ontology/HCPCS/C2627,"Catheter, suprapubic/cystoscopic",,,FALSE,C0993814,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C2617-C2631,N=No maintenance for this code,20040101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20010401,,,A=Not applicable as HCPCS priced under one methodology,,,,,53=Statute,,1833(T),9=Other medical items or services|S=Surgical dressings or other medical supplies (eff 04/95),,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1311,Anaphylaxis due to the vaccine on or before the date of the encounter,,,FALSE,C5849231,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0124,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician",,,FALSE,C0694933,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0117-G0124,N=No maintenance for this code,19980401,0,T1H=Lab test - other (Non-Medicare fee schedule),D=Special coverage instructions apply,19980401,50-20,630=Cytology,"C=Physician interpretation of clinical lab service is priced under physician fee schedule using RVU's, while pricing of lab service is paid under clinical lab fee schedule",,,,,21=Price subject to national limitation amount|11=Price established using national RVU's,"0045=SEE INTERMEDIARY MANUAL 3628.1A FOR PAYMENT INSTRUCTIONS. (P3000,P3001 G0123, G0124, G0141, G0143, G0144, G0145, G0147, G0148). PROGRAM MEMORANDUM AB-98-71.60.",,5=Diagnostic laboratory,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/STY/T130,"Indicator, Reagent, or Diagnostic Aid",,,FALSE,,,http://purl.bioontology.org/ontology/STY/T120,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/STY/T131,Hazardous or Poisonous Substance,,,FALSE,,,http://purl.bioontology.org/ontology/STY/T120,,,,,,,,,,,,,,,,,,,,,
http://purl.bioontology.org/ontology/HCPCS/H0040,"Assertive community treatment program, per diem",,,FALSE,C1145173,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/E0642,"Standing frame/table system, mobile (dynamic stander), any size including pediatric",,,FALSE,C1618857,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0621-E0642,N=No maintenance for this code,20120101,0,D1E=Other DME,M=Non-covered by Medicare,20060101,60-9,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,"R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/L5990,"Addition to lower extremity prosthesis, user adjustable heel height",,,FALSE,C0993982,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L5968-L5999,N=No maintenance for this code,20020101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20020101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/J9295,"Injection, necitumumab, 1 mg",,,FALSE,C4284571,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20J9000-J9999,N=No maintenance for this code,20170101,0,O1D=Chemotherapy,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,20170101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/S3854,Gene expression profiling panel for use in the management of breast cancer treatment,,,FALSE,C1618909,http://purl.bioontology.org/ontology/STY/T059,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S3800-S3870,N=No maintenance for this code,20160701,0,Z2=Undefined codes,I=Not payable by Medicare,20060101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T059
http://purl.bioontology.org/ontology/HCPCS/E2510,"Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access",,,FALSE,C0919094,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2500-E2599,N=No maintenance for this code,20190101,0,D1E=Other DME,D=Special coverage instructions apply,20040101,60-23,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/T1007,"Alcohol and/or substance abuse services, treatment plan development and/or modification",,,FALSE,C0994281,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20T1000-T9999,N=No maintenance for this code,20010701,0,Z2=Undefined codes,I=Not payable by Medicare,20010701,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A9579,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",,,FALSE,C1971409,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20080101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/G8721,"Pt category (primary tumor), pn category (regional lymph nodes), and histologic grade were documented in pathology report",,,FALSE,C3248464,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G8395-G8976,N=No maintenance for this code,20120101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20120101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/K0669,"Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from dme pdac",,,FALSE,C1509054,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20K0669-K0746,N=No maintenance for this code,20100701,0,D1D=Wheelchairs,C=Carrier judgment,20040701,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"A=Used durable medical equipment (DME)|R=Rental of DME|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/Q4227,"Amniocore, per square centimeter",,,FALSE,C5439771,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20200701,0,O1E=Other drugs,C=Carrier judgment,20200701,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/Q4110,"Primatrix, per square centimeter",,,FALSE,C2959312,http://purl.bioontology.org/ontology/STY/T122,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q4100-Q4367,N=No maintenance for this code,20140101,0,O1E=Other drugs,C=Carrier judgment,20090101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T122
http://purl.bioontology.org/ontology/HCPCS/A9570,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose",,,FALSE,C1971403,http://purl.bioontology.org/ontology/STY/T130,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A9500-A9800,N=No maintenance for this code,20250101,0,I1E=Standard imaging - nuclear medicine,C=Carrier judgment,20080101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,57=Other carrier priced,,,4=Diagnostic radiology,,,,http://purl.bioontology.org/ontology/STY/T130
http://purl.bioontology.org/ontology/HCPCS/E2217,"Manual wheelchair accessory, foam filled caster tire, any size, each",,,FALSE,C1616301,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E2201-E2398,N=No maintenance for this code,20060101,0,D1D=Wheelchairs,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics|R=Rental of DME|A=Used durable medical equipment (DME)",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/H0036,"Community psychiatric supportive treatment, face-to-face, per 15 minutes",,,FALSE,C1145169,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20H0001-H9999,N=No maintenance for this code,20030101,0,Z2=Undefined codes,I=Not payable by Medicare,20030101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L2380,"Addition to lower extremity, torsion control, straight knee joint, each joint",,,FALSE,C0499589,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L2200-L2397,N=No maintenance for this code,19880101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,19880101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4648-A4652,Miscellaneous Surgical Supplies,,,FALSE,C0497896,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20A2001-A8004,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G9344,"Due to system reasons search not conducted for dicom format images for prior patient ct imaging studies completed at non-affiliated external healthcare facilities or entities within the past 12 months that are available through a secure, authorized, media-free, shared archive (e.g., non-affiliated external healthcare facilities or entities does not have archival abilities through a shared archival system)",,,FALSE,C3710434,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G9188-G9999,N=No maintenance for this code,20150101,0,M5B=Specialist - psychiatry,C=Carrier judgment,20140101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/G0521,"Management of new patient-caregiver dyad with dementia, high complexity, for use in cmmi model",,,FALSE,C5974154,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G0519-G0531,N=No maintenance for this code,20240701,0,Z2=Undefined codes,C=Carrier judgment,20240701,,,A=Not applicable as HCPCS priced under one methodology,,,,,"13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/A7008,"Large volume nebulizer, disposable, prefilled, used with aerosol compressor",,,FALSE,C0499304,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A7000-A7049,N=No maintenance for this code,20000101,0,D1E=Other DME,C=Carrier judgment,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/G2147,Leg pain measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was greater than 3.0 and leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated improvement of less than 5.0 points,,,FALSE,C5229109,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20G2000-G2252,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20200101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0720-E0770,Transcutaneous and/or Neuromuscular Electrical Nerve Stimulators (TENS),,,FALSE,C2065019,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20E0100-E8002,,,,,,,,,,,,,,,,,,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/M1009,Discharge/discontinuation of the episode of care documented in the medical record,,,FALSE,C5203694,http://purl.bioontology.org/ontology/STY/T058,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20200101,0,Z2=Undefined codes,C=Carrier judgment,20190101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T058
http://purl.bioontology.org/ontology/HCPCS/Q2057,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose",,,FALSE,C5979756,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20Q2004-Q2057,A=Add procedure or modifier code,20250401,0,O1D=Chemotherapy,C=Carrier judgment,20250401,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/L3967,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",,,FALSE,C1618895,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%204%3A%20L3960-L3973,N=No maintenance for this code,20060101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20060101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/S0618,Audiometry for hearing aid evaluation to determine the level and degree of hearing loss,,,FALSE,C1509088,http://purl.bioontology.org/ontology/STY/T060,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20S0601-S0622,N=No maintenance for this code,20040401,0,Z2=Undefined codes,I=Not payable by Medicare,20040401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T060
http://purl.bioontology.org/ontology/HCPCS/E0711,"Upper extremity medical tubing/lines enclosure or covering device, restricts elbow range of motion",,,FALSE,C5883994,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0710-E0716,N=No maintenance for this code,20230401,0,Z2=Undefined codes,C=Carrier judgment,20230401,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J2786,"Injection, reslizumab, 1 mg",,,FALSE,C4285602,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20170101,0,O1E=Other drugs,C=Carrier judgment,20170101,,,A=Not applicable as HCPCS priced under one methodology,,20170101,,YY,51=Drugs,,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J1450,"Injection fluconazole, 200 mg",,,FALSE,C0812735,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,20000101,0,O1E=Other drugs,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,2049.5,,,,51=Drugs,,,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/C9809,"Cryoablation needle (e.g., iovera system), including needle/tip and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)",,,FALSE,C5974119,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%202%3A%20C9725-C9901,N=No maintenance for this code,20250101,0,D1A=Medical/surgical supplies,D=Special coverage instructions apply,20250101,,,A=Not applicable as HCPCS priced under one methodology,,20250101,,YY,53=Statute,,1833(t),9=Other medical items or services,,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J7669,"Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams",,,FALSE,C0520212,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,D=Special coverage instructions apply,20000101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,"0135=MEDICARE BENEFIT POLICY MANUAL, PUB 100.2, CHAPTER 15, SECTION 110.3 (100.02,15,110.3).",,"P=Lump sum purchase of DME, prosthetics, orthotics|1=Medical care",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/E0785,"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement",,,FALSE,C0694929,http://purl.bioontology.org/ontology/STY/T074,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20E0776-E0791,N=No maintenance for this code,19990101,0,D1E=Other DME,D=Special coverage instructions apply,19990101,,,A=Not applicable as HCPCS priced under one methodology,60-14,,,,32=Inexpensive and routinely purchased DME (price subject to floors and ceilings),,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T074
http://purl.bioontology.org/ontology/HCPCS/J3490,Unclassified drugs,,,FALSE,C1145665,http://purl.bioontology.org/ontology/STY/T200,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J0120-J7131,N=No maintenance for this code,19970101,0,O1E=Other drugs,D=Special coverage instructions apply,19860101,,,A=Not applicable as HCPCS priced under one methodology,2049,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T200
http://purl.bioontology.org/ontology/HCPCS/J7609,"Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg",,,FALSE,C1738020,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20J7604-J7686,N=No maintenance for this code,20070101,0,D1G=Drugs Administered through DME,C=Carrier judgment,20070101,,,A=Not applicable as HCPCS priced under one methodology,,,,,51=Drugs,,,"1=Medical care|P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/L0488,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, prefabricated, includes fitting and adjustment",,,FALSE,C1145271,http://purl.bioontology.org/ontology/STY/T061,http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20L0450-L0492,N=No maintenance for this code,20030101,0,D1F=Prosthetic/Orthotic devices,C=Carrier judgment,20030101,,,A=Not applicable as HCPCS priced under one methodology,,,,,"38=Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)",,,"P=Lump sum purchase of DME, prosthetics, orthotics",,,,http://purl.bioontology.org/ontology/STY/T061
http://purl.bioontology.org/ontology/HCPCS/M1318,Patients who did not have documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening or documentation that there was no contact with a csp,,,FALSE,C5884183,http://purl.bioontology.org/ontology/STY/T033,http://purl.bioontology.org/ontology/HCPCS/Level%201%3A%20M0000-M1425,N=No maintenance for this code,20240101,0,Z2=Undefined codes,C=Carrier judgment,20240101,,,9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99'),,,,,"00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)",,,1=Medical care,,,,http://purl.bioontology.org/ontology/STY/T033
