Medical Procedures

172 procedures in Temporary Procedures. Medicare payment vs. billed charge comparison.

All Musculoskeletal Surgery Digestive Surgery Cardiovascular Surgery Medicine Drugs (Administered) Laboratory Nervous System Surgery Skin/Integumentary Surgery Genetic/Molecular Test Respiratory Surgery Urinary Surgery Eye Surgery Anesthesia Immunology Temporary Codes Female Reproductive Surgery Temporary Procedures Other Blood Test Imaging
Code Procedure Medicare Billed
G0008 Administration Of Influenza Virus Vaccine $28.92 $39.23
G0283 Electrical Stimulation (unattended), To One Or More Areas For Indication(s) Other Than Wound Care, As Part Of A Therapy Plan Of Care $7.08 $38.50
G0009 Administration Of Pneumococcal Vaccine $27.56 $45.47
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) $10.17 $18.35
G2066 Interrogation Device Evaluation(s), (remote) Up To 30 Days; Implantable Cardiovascular Physiologic Monitor System, Implantable Loop Recorder System, Or Subcutaneous Cardiac Rhythm Monitor System, Remote Data Acquisition(s), Receipt Of Transmissions And Tec $48.89 $256.69
G0127 Trimming Of Dystrophic Nails, Any Number $13.21 $46.07
G6015 Intensity Modulated Treatment Delivery, Single Or Multiple Fields/arcs,via Narrow Spatially And Temporally Modulated Beams, Binary, Dynamic Mlc, Per Treatment Session $285.29 $1,763.19
G2023 Specimen Collection For Severe Acute Respiratory Syndrome Coronavirus 2 (sars-Cov-2) (coronavirus Disease [covid-19]), Any Specimen Source $22.99 $69.00
G0279 Diagnostic Digital Breast Tomosynthesis, Unilateral Or Bilateral (list Separately In Addition To 77065 Or 77066) $26.83 $148.21
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 Treatm $213.86 $256.17
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 $39.49 $126.35
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 $65.47 $339.26
G6002 Stereoscopic X-Ray Guidance For Localization Of Target Volume For The Delivery Of Radiation Therapy $28.27 $220.15
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 $24.10 $94.38
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 $110.41 $307.39
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 $240.59 $612.44
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 A $30.17 $89.97
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 $193.40 $528.32
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 $152.22 $413.28
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 Allow $80.93 $165.51
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 Th $23.22 $106.65
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) $25.85 $511.91
G0446 Annual, Face-To-Face Intensive Behavioral Therapy For Cardiovascular Disease, Individual, 15 Minutes $25.46 $50.01
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 $37.19 $49.26
G0447 Face-To-Face Behavioral Counseling For Obesity, 15 Minutes $25.53 $58.10
G6012 Radiation Treatment Delivery,3 Or More Separate Treatment Areas, Custom Blocking, Tangential Ports, Wedges, Rotational Beam, Compensators, Electron Beam; 6-10 Mev $187.15 $726.59
G6001 Ultrasonic Guidance For Placement Of Radiation Therapy Fields $137.47 $325.66
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 Monito $5.65 $118.02
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 Qualif $22.10 $67.58
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 Qualifi $21.61 $69.51
G2024 Specimen Collection For Severe Acute Respiratory Syndrome Coronavirus 2 (sars-Cov-2) (coronavirus Disease [covid-19]) From An Individual In A Snf Or By A Laboratory On Behalf Of A Hha, Any Specimen Source $24.93 $69.58
G0268 Removal Of Impacted Cerumen (one Or Both Ears) By Physician On Same Date Of Service As Audiologic Function Testing $37.52 $128.54
G0452 Molecular Pathology Procedure; Physician Interpretation And Report $36.63 $143.83
G0277 Hyperbaric Oxygen Under Pressure, Full Body Chamber, Per 30 Minute Interval $136.02 $497.80
G0416 Surgical Pathology, Gross And Microscopic Examinations, For Prostate Needle Biopsy, Any Method $191.84 $1,082.51
G0506 Comprehensive Assessment Of And Care Planning For Patients Requiring Chronic Care Management Services (list Separately In Addition To Primary Monthly Care Management Service) $40.00 $113.42
G0108 Diabetes Outpatient Self-Management Training Services, Individual, Per 30 Minutes $39.96 $149.74
G6013 Radiation Treatment Delivery,3 Or More Separate Treatment Areas, Custom Blocking, Tangential Ports, Wedges, Rotational Beam, Compensators, Electron Beam; 11-19 Mev $183.58 $803.76
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 $63.27 $426.23
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 Frequent $6.24 $26.68
G0260 Injection Procedure For Sacroiliac Joint; Provision Of Anesthetic, Steroid And/or Other Therapeutic Agent, With Or Without Arthrography $214.45 $2,692.66
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 L $148.58 $723.38
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 $52.18 $471.54
G2012 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 Servic $9.99 $43.40
G0422 Intensive Cardiac Rehabilitation; With Or Without Continuous Ecg Monitoring With Exercise, Per Session $94.06 $295.76
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 $22.62 $115.47
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 Tha $60.39 $223.06
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 Wi $27.07 $52.11
G0238 Therapeutic Procedures To Improve Respiratory Function, Other Than Described By G0237, One On One, Face To Face, Per 15 Minutes (includes Monitoring) $8.66 $43.13
G0423 Intensive Cardiac Rehabilitation; With Or Without Continuous Ecg Monitoring; Without Exercise, Per Session $95.32 $289.76
G0010 Administration Of Hepatitis B Vaccine $29.70 $53.40
G0396 Alcohol And/or Substance (other Than Tobacco) Misuse Structured Assessment (e.g., Audit, Dast), And Brief Intervention 15 To 30 Minutes $24.65 $83.52
G0166 External Counterpulsation, Per Treatment Session $85.30 $507.87
G0109 Diabetes Outpatient Self-Management Training Services, Group Session (2 Or More), Per 30 Minutes $11.45 $44.05
G0306 Complete Cbc, Automated (hgb, Hct, Rbc, Wbc, Without Platelet Count) And Automated Wbc Differential Count $7.60 $29.18
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 Inf $48.46 $163.62
G0426 Telehealth Consultation, Emergency Department Or Initial Inpatient, Typically 50 Minutes Communicating With The Patient Via Telehealth $97.03 $349.31
G0168 Wound Closure Utilizing Tissue Adhesive(s) Only $26.03 $249.33
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 Patien $75.82 $180.46
G0307 Complete (cbc), Automated (hgb, Hct, Rbc, Wbc; Without Platelet Count) $6.34 $30.54
G2077 Periodic Assessment; Assessing Periodically By Qualified Personnel To Determine The Most Appropriate Combination Of Services And Treatment (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For $114.16 $166.44
G0425 Telehealth Consultation, Emergency Department Or Initial Inpatient, Typically 30 Minutes Communicating With The Patient Via Telehealth $70.73 $284.08
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) $189.03 $227.45
G0427 Telehealth Consultation, Emergency Department Or Initial Inpatient, Typically 70 Minutes Or More Communicating With The Patient Via Telehealth $141.14 $522.27
G0407 Follow-Up Inpatient Consultation, Intermediate, Physicians Typically Spend 25 Minutes Communicating With The Patient Via Telehealth $52.35 $152.11
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 Opi $260.27 $318.29
G0237 Therapeutic Procedures To Increase Strength Or Endurance Of Respiratory Muscles, Face To Face, One On One, Each 15 Minutes (includes Monitoring) $9.08 $43.76
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, $912.47 $2,230.37
G0408 Follow-Up Inpatient Consultation, Complex, Physicians Typically Spend 35 Minutes Communicating With The Patient Via Telehealth $78.02 $238.47
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.) $22.57 $94.61
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 $235.60 $543.28
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 $77.85 $103.95
G0508 Telehealth Consultation, Critical Care, Initial , Physicians Typically Spend 60 Minutes Communicating With The Patient And Providers Via Telehealth $164.48 $603.38
G0400 Home Sleep Test (hst) With Type Iv Portable Monitor, Unattended; Minimum Of 3 Channels $114.39 $383.47
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 $95.79 $394.64
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) $36.64 $109.26
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 $40.68 $118.13
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 Treatme $1,696.47 $8,690.56
G0406 Follow-Up Inpatient Consultation, Limited, Physicians Typically Spend 15 Minutes Communicating With The Patient Via Telehealth $31.32 $98.96
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 $155.89 $254.73
G2011 Alcohol And/or Substance (other Than Tobacco) Misuse Structured Assessment (e.g., Audit, Dast), And Brief Intervention, 5-14 Minutes $10.97 $40.19
G6014 Radiation Treatment Delivery,3 Or More Separate Treatment Areas, Custom Blocking, Tangential Ports, Wedges, Rotational Beam, Compensators, Electron Beam; 20 Mev Or Greater $184.62 $797.94
G2076 Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A $174.62 $235.58
G0509 Telehealth Consultation, Critical Care, Subsequent, Physicians Typically Spend 50 Minutes Communicating With The Patient And Providers Via Telehealth $149.08 $594.03
G0410 Group Psychotherapy Other Than Of A Multiple-Family Group, In A Partial Hospitalization Setting, Approximately 45 To 50 Minutes $68.92 $100.00
G0411 Interactive Group Psychotherapy, In A Partial Hospitalization Setting, Approximately 45 To 50 Minutes $35.93 $45.92
G0372 Physician Service Required To Establish And Document The Need For A Power Mobility Device $6.35 $40.21
G0239 Therapeutic Procedures To Improve Respiratory Function Or Increase Strength Or Endurance Of Respiratory Muscles, Two Or More Individuals (includes Monitoring) $10.39 $187.41
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 $101.40 $458.12
G0420 Face-To-Face Educational Services Related To The Care Of Chronic Kidney Disease; Individual, Per Session, Per One Hour $75.55 $233.34
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 T $8.44 $32.83
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 $19.92 $95.81
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 Servic $18.68 $86.05
G6011 Radiation Treatment Delivery,3 Or More Separate Treatment Areas, Custom Blocking, Tangential Ports, Wedges, Rotational Beam, Compensators, Electron Beam; Up To 5 Mev $179.43 $790.96
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 Ex $40.16 $141.46
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 $33.45 $49.51
G0339 Image-Guided Robotic Linear Accelerator-Based Stereotactic Radiosurgery, Complete Course Of Therapy In One Session Or First Session Of Fractionated Treatment $2,183.32 $11,894.43
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, Incl $629.32 $1,528.67
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) $24.66 $70.72
G0323 Care Management Services For Behavioral Health Conditions, At Least 20 Minutes Of Clinical Psychologist Or Clinical Social Worker Time, Per Calendar Month. (these Services Include The Following Required Elements: Initial Assessment Or Follow-Up Monitoring, $28.67 $89.33
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 $271.84 $1,732.80
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 I $51.03 $124.53
G0459 Inpatient Telehealth Pharmacologic Management, Including Prescription, Use, And Review Of Medication With No More Than Minimal Medical Psychotherapy $32.32 $84.35
G0397 Alcohol And/or Substance (other Than Tobacco) Misuse Structured Assessment (e.g., Audit, Dast), And Intervention, Greater Than 30 Minutes $46.13 $181.79
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 $64.93 $1,054.89
G0443 Brief Face-To-Face Behavioral Counseling For Alcohol Misuse, 15 Minutes $25.06 $51.23
G2172 All Inclusive Payment For Services Related To Highly Coordinated And Integrated Opioid Use Disorder (oud) Treatment Services Furnished For The Demonstration Project $327.19 $462.75
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 $260.19 $588.99
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) $660.28 $3,651.34
G0473 Face-To-Face Behavioral Counseling For Obesity, Group (2-10), 30 Minutes $12.00 $52.10
G0454 Physician Documentation Of Face-To-Face Visit For Durable Medical Equipment Determination Performed By Nurse Practitioner, Physician Assistant Or Clinical Nurse Specialist $6.47 $15.52
G6004 Radiation Treatment Delivery, Single Treatment Area,single Port Or Parallel Opposed Ports, Simple Blocks Or No Blocks: 6-10 Mev $102.22 $374.75
G0421 Face-To-Face Educational Services Related To The Care Of Chronic Kidney Disease; Group, Per Session, Per One Hour $19.05 $50.77
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 $10.54 $59.08
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 Biologic $32.27 $135.74
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 P $9.73 $58.46
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 Histo $27.15 $97.32
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 Compr $59.29 $195.84
G0288 Reconstruction, Computed Tomographic Angiography Of Aorta For Surgical Planning For Vascular Surgery $32.18 $721.19
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 Servic $36.12 $63.16
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 $108.52 $176.61
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 $105.00 $125.07
G0455 Preparation With Instillation Of Fecal Microbiota By Any Method, Including Assessment Of Donor Specimen $62.05 $506.55
G0451 Development Testing, With Interpretation And Report, Per Standardized Instrument Form $7.53 $21.75
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 $26.73 $57.36
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 Cons $39.33 $122.27
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 $50.99 $131.39
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 $171.09 $195.03
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 $279.69 $1,860.81
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) $384.22 $3,460.29
G0429 Dermal Filler Injection(s) For The Treatment Of Facial Lipodystrophy Syndrome (lds) (e.g., As A Result Of Highly Active Antiretroviral Therapy) $78.25 $403.89
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 Individua $14.30 $48.65
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 $169.18 $425.11
G6005 Radiation Treatment Delivery, Single Treatment Area,single Port Or Parallel Opposed Ports, Simple Blocks Or No Blocks: 11-19 Mev $103.83 $423.56
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 $37.25 $70.70
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 $9.13 $40.57
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 T $51.08 $192.91
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 $179.42 $231.98
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 $76.95 $94.60
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) $750.86 $4,406.04
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 De $66.27 $209.65
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 $102.11 $143.62
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 $141.18 $357.64
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 Suppl $94.73 $109.01
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 Th $8.93 $35.90
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 Suppl $59.59 $66.60
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) $46.99 $324.38
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 Sup $93.88 $111.67
G6008 Radiation Treatment Delivery, 2 Separate Treatment Areas, 3 Or More Ports On A Single Treatment Area, Use Of Multiple Blocks: 6-10 Mev $146.65 $641.58
G0130 Single Energy X-Ray Absorptiometry (sexa) Bone Density Study, One Or More Sites; Appendicular Skeleton (peripheral) (e.g., Radius, Wrist, Heel) $25.95 $52.30
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 Mak $37.94 $129.88
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 Sup $60.86 $69.48
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 Measu $36.22 $45.13
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 D $98.00 $256.30
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 Da $62.37 $156.98
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 $99.64 $256.04
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 Prob $13.56 $60.75
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 De $89.01 $264.92
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 $328.75 $2,967.82
G2025 Payment For A Telehealth Distant Site Service Furnished By A Rural Health Clinic (rhc) Or Federally Qualified Health Center (fqhc) Only $54.94 $162.77
G9157 Transesophageal Doppler Measurement Of Cardiac Output (including Probe Placement, Image Acquisition, And Interpretation Per Course Of Treatment) For Monitoring Purposes $72.75 $208.32
G2069 Medication Assisted Treatment, Buprenorphine (injectable); 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-Enroll $1,871.44 $1,951.40
G6009 Radiation Treatment Delivery, 2 Separate Treatment Areas, 3 Or More Ports On A Single Treatment Area, Use Of Multiple Blocks: 11-19 Mev $136.95 $446.67
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) $57.92 $177.25
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) $85.77 $284.48
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 Treatm $1,508.06 $2,306.04
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) $132.65 $421.53
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) $164.44 $446.76
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 $39.08 $105.12
G9156 Evaluation For Wheelchair Requiring Face To Face Visit With Physician $11.52 $133.33
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 $24.20 $91.16
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) $69.27 $252.03